幽门狭窄|Overview
幽门狭窄|症状和原因
深入
孩子如何患上幽门狭窄？
- Pyloric stenosis occurs when the muscle surrounding the pyloric sphincter at the outlet to the stomach becomes thickened. This thickening can block the pyloric channel preventing the passage of feedings from the stomach into the small intestine. Vigorous contractions of the stomach wall attempt to force the feedings through the obstruction, but as it becomes tighter, these contractions result instead in the projectile vomiting.
- Pyloric stenosis is more common in boys than girls, and it occurs in up to 1 percent of otherwise healthy infants.
幽门狭窄|测试和诊断
Tests
我怎么知道我的孩子是否患有幽门狭窄？
- 许多婴儿在幽门狭窄中看起来很好。经典症状是呕吐。但是，随着持续的呕吐婴儿的体重松动，可能看起来是黄色或黄疸脱水and lethargic.
- 您婴儿的儿科医生和/或外科医生可能能够根据病史和身体检查来诊断幽门狭窄。您的儿科医生或外科医生可能会感受到幽门螺杆菌的异常。
- 通常，医生进行放射学研究，这有助于确定婴儿是否患有幽门狭窄。这些放射学研究可以包括ultrasoundor an上胃肠道系列（UGI）。
幽门狭窄|Treatments
幽门狭窄是一种严重的疾病，可能导致严重脱水如果不是诊断、虚弱和减肥ed and treated effectively. Once the diagnosis has been made, the recommended treatment for pyloric stenosis is surgery.
在波士顿儿童医院，熟练的小儿外科医生和其他专业人员将管理婴儿的护理。手术前，您的宝宝会静脉注射。他还将进行血液检查，以确保脱水得到纠正，并且可以安全地进行麻醉和手术。
What does surgery entail?
A small tube may be placed through your baby's nose into the stomach to help prevent persistent vomiting. Your child may receive antibiotics during the hospital course to prevent the possibility of any infection. You will meet with a pediatric surgeon and anesthesiologist to discuss the surgery and anesthesia prior to the operation.
手术后会发生什么？
After surgery, your infant will be monitored closely. About six hours after the surgery, your child will be able to resume feedings.
This may include taking small amount of formula from a bottle or breast-feeding with mom.
Our nurses and surgeons will monitor the exact amounts of fluid that your baby has taken. It is common after the surgery that your infant may still have some intermittent episodes of vomiting, but this should stop within a few days.
您的护士会监视您的宝宝进行正常的尿液和排便。一旦您的婴儿忍受正常饮食，并且看起来很好，就会准备出院的准备。您的婴儿应在离开医院之前称重。
What do I need to do or look for once I am at home?
- 出院后约两周，在一周内与儿科外科医生一起进行后续约会，并与儿科医生进行后续约会。
- 请记住，手术后预计会有少量的间歇性呕吐。但是，每个饲料都不应该发生，并且每天都应该变得更好。如果您的婴儿在每次饲料中仍在持续呕吐，请致电您的儿科医生，儿科医生或儿科护士从业者。
- 保持切口干净干燥，直到您跟进儿科外科医生或护士从业人员之前，不要洗澡。
Symptoms that you should call your pediatrician or pediatric surgeon for include:
- 任何问题或疑虑
- 如果您的宝宝昏昏欲睡或喂养不好
- 每次提要都持续呕吐
- 发烧greater than 100
- 切口部位感染脓，气味或发红的伤口
- 用尿液减少湿尿布的数量
- 用凳子减少尿布数量