摘要
目的探讨通过留置胃管及口、鼻腔及食管分泌液的观察对新生儿先天性食管闭锁的预诊断作用。方法进行前瞻性实验,通过观察胃管留置和口、鼻腔及食管分泌液的性状、量及pH值等情况预诊断新生儿食管闭锁的方法与X线诊断方法的比较。结果通过护理观察方法来预诊断先天性食管闭锁与X线诊断食管闭锁结果方面差异无统计学意义(P=1.000),两种方法在诊断先天性食管闭锁时具有同样的价值。与X线诊断相比其灵敏度为98.3%,漏诊率为1.7%,且比X线更早的发现食管闭锁的存在。结论胃管留置情况和口、鼻腔及食管分泌液的性状、量及pH值等情况可以预诊断新生儿先天性食管闭锁。
Objective To explore a new pre-diagnosis method of neonatal congenital esophageal atresia by the observation of secretions in mouth,nasal passages and esophagus when indwelling gastric tube. Methods Observing the condition of indwelling gastric tube, the characteristics,quantity and pH of the secretions in mouth,nasal passages and esophagus. Compare the diagnosis results of neonatal con-genital esophageal atresia between the method above with the traditional X-ray diagnosis method. Results There is no statistical differ-ence in the diagnosis method results of esophageal atresia in newborns between nursing observation and X-ray （P = 1. 000）. Both meth-ods have important value in diagnosis of neonatal congenital esophageal atresia. But compared with X-ray, the sensitivity of nursing ob-servation method is 98.3% ,and the missed diagnosis rate is 1.7%. Besides, the presence of esophageal atresia can be found earlier through this new method than X-ray. Conclusion Observing the condition of indwelling gastric tube and the characteristics, quantity, pH of the secretions in mouth,nasal passages and esophagus can be a scientific pre-diagnosis method of newborn congenital esophageal atresia. With this method,we can diagnose neonatal esophageal atresia earlier than X-ray.
作者
孔超男
姜红
范玲
KONG Chaonan JIANG Hong FAN Ling
出处
《安徽医药》
CAS
2017年第6期1137-1139,共3页
Anhui Medical and Pharmaceutical Journal
关键词
新生儿
先天性食管闭锁
诊断
护理
Newborn
Congenital esophageal atresia
Diagnosis
Nursing
