Health Worlds

Posted at landlord reference 1st Floor Abstract: Disease Daquan [pediatric surgical diseases] Hirschsprung disease [Disease Over] [cause of pathology] [clinical] [laboratory test] [Diagnostic and differential ] [treatment] [complications] [Prognosis Prevention] Overof Hirschsprung disease, Rather said (__xian tian xing j . = "window.open ('')" onerror =" this.src = ' '"onload =" addjustimg (this) "width height type =" audio / mpeg ">Hirschsprung Rather said (__xian tian xing ju jie chang zheng que qie de jiang cheng) as intestinal ganglion cells without disease, congenital malformation of the gastrointestinal tract is the most common one. Incidence of up to 1 / 5000, more men than women. The cause of this disease is not yet clear, most scholars believe that genetic closely related to the pathogenesis of this disease is the lack of distal intestinal ganglion cells, such as, or dysfunction, the state of intestinal stenosis in a spasm, bowel through the poor, compensatory increase of proximal bowel, wall thickening. The disease is sometimes associated with other malformations. Etiology and pathology
Hirschsprung disease is not caused by complete obstruction of the bowel obstruction, and rose short section of the disease varies, so the clinical symptoms are not immutable. Normal newborns is usually within 24 hours after birth meconium solved, after eating a few times a day normal bowel movements. The majority of infants with congenital megacolon solution is often a delay


in meconium, it is often several days after a bowel movement; while gradually swelling belly, eating is unfavorable, or even vomiting. Because stool can not be properly discharged and often cause enteritis, but this time diarrhea, fever, dehydration and other phenomena, even causing channeling hyperlipidemia; and a small number of cases of enteritis caused by serious life-threatening colon burst. A small part of infants and the absence of such obvious and persistent symptoms; or performance of the good times and bad alternating constipation, diarrhea and enteritis, or only slightly up on the chance of bloating and constipation associated with poor appetite. To the rise of childhood Zeyi gradually as the main symptoms of severe constipation; its constipation in general to promote bowel movements or stool softener agent is not a good response, often requires use of anal suppositories or glycerin to make it the ball bowel irrigation agent . Clinical manifestations of congenital megacolon
1. Meconium after birth can not be excluded or fecal discharge delay;3. Anemia, weight loss;
4. Highly swollen abdomen, abdominal intestinal visible thick;
5. Digital rectal examination: a lot of gas and loose stools with the finger aside the discharge. Laboratory tests<br>When the suspected Hirschsprung disease, generally do inspections include:
(1) rectal biopsy pathology tests to determine whether the lack of colon muscle tissue ganglion cells.
(2) barium colon (bei ji da chang) photography, to see the disease up to paragraph short range.
In addition, the small number of congenital megacolon (__ling4 wai4 _shao3 shu3 de0 xian1 tian1 xing4 ju4 jie2 chang2 zheng4) deals only with very short distal segment of the rectum, the exact diagnosis of the above methods can not, then the pressure measuring instrument to be used to check the anal anal The stress response can be confirmed disease. Diagnosis and differential1. Meconium after birth can not be excluded or delayed meconium discharge; (chu sheng hou bu pai tai fen huo tai fen pai chu yan chi _)
2. Highly swollen abdomen, abdominal intestinal visible thick;
3. Digital rectal examination: a lot of gas and loose stools with the finger aside the discharge;
4. Barium enema (bei ji guan chang) said: intestinal stenosis intestinal and expansion, the junction was "beak-shaped";
5. Rectal biopsy (zhi2 chang2 huo2 ti3 zu3 zhi1) Check with pathologically confirmed non-existence of ganglion cells. Therapy treatment principles:
1. Conservative treatment: short form for Hirschsprung's disease children, newborns. First with conservative treatment, to be 6 months, then underwent radical surgery;
2. Colostomy: neonatal patients with conservative treatment fails or the seriously ill or do not have the radical surgery, are applicable colostomy; 3. Radical hand (gen zhi shou) operation: applies to all child Hirschsprung disease.
3. Medicine principles: limited general box after "A" in the triple (such as ampicillin and cephradine pyridine + metronidazole) with 3-5 days, such as those with severe infection confined to "B" or "C" of antibiotics. Prevention of Complications Prognosis


Friends Links:Automation Control Blog
Automation Products Order Numbers