1例食管闭锁合并十二指肠闭锁患儿的病例报告

A Case Report of a Child with Esophageal Atresia Complicated with Duodenal Atresia

摘要: 食管闭锁是一种先天性的食管发育缺陷，发病率较低，发病原因尚未明确。在临床上主要表现为生后唾液过多，喂奶呛咳，口唇青紫，呼吸困难等症状。几乎近一半的食管闭锁患儿合并有其他的畸形，其中最常见的是合并先天性心脏病，合并其他常见的畸形包括泌尿系畸形、骨骼畸形、肛门直肠畸形、肢体畸形等，而食管闭锁合并十二脂肠闭锁的发病率较低，临床上较为罕见。合并十二指肠不完全闭锁的患儿，症状较轻，腹胀不明显，容易漏诊，在怀疑可能存在十二指肠闭锁时可以通过腹部彩超及腹部X线造影检查进行诊断。本文报道了1例食管闭锁合并十二指肠闭锁的患儿，目前临床上对此病认识不足，通过结合文献对其临床表现及诊断进行了讨论，为临床诊断及治疗提供参考。

Abstract: Esophageal atresia is a congenital developmental defect of the esophagus with a low incidence and unknown cause. The main clinical manifestations are excessive saliva, coughing after feeding, blue lips, dyspnea and other symptoms. Almost half of children with esophageal atresia have other mal-formations, the most common of which is congenital heart disease. Other common malformations include urinary tract malformations, skeletal malformations, anorectal malformations, limb mal-formations, etc., while esophageal atresia combined with duodenal atresia has a low incidence and is relatively rare clinically. Children with incomplete duodenal atresia have mild symptoms and in-conspicuous abdominal distension, making it easy to miss the diagnosis. When duodenal atresia is suspected, abdominal color ultrasound and abdominal X-ray examination can be used to diagnose the disease. In this paper, a case of esophageal atresia complicated with duodenal atresia was re-ported. The clinical manifestations and diagnosis were discussed based on the literature, so as to provide reference for clinical diagnosis and treatment.