xq nhi benh ly thuc quan
TRANSCRIPT
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BEÄNH LYÙ THÖÏC QUAÛN
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KHAÛO SAÙT THÖÏC QUAÛN Chuïp thöïc quaûn caûn quang:
Coá ñònh beänh nhaân, phim phoåi Thuoác caûn quang: barium, iode tan trong
nöôùcBuù bình, sonde daï daøyThaúng, nghieâng, khu truù.
CT: beäânh lyù u böôùu, cheøn eùp.
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BAÁT THÖÔØNG BAÅM SINH TEO THÖÏC QUAÛN HÔÛ KHE THANH – KHÍ – THÖÏC
QUAÛN NANG THÖÏC QUAÛN ÑOÂI
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TEO THÖÏC QUAÛN Bieåu hieän sôùm sau
sinh Baát thöôøng foregut VACTERL: Vertebral,
Anorectal, Cardiac, TracheoEsophageal, Renal, Limb
5 type: A, B, C, D, E
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Chaån ñoaùn: Phim ngöïc thaúng:
Tuùi khí Ñaàu sonde dd Vieâm phoåi hít Baát thöôøng phoái
hôïp Vò trí cung ñoäng
maïch chuû
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Chuïp thöïc quaûn caûn quang
Thuoác caûn quang tan trong nöôùc
Chaån ñoaùn xaùc ñònh: vò trí tuùi cuøng treân, ñöôøng doø
Hôi trong daï daøy, ruoät non: (+) A,D; (-) B, E
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kieåm tra sau moå Bieán chöùng sôùm
Doø mieäng noái, thöôøng töï laønh. Chít heïp mieäng noái Doø thöïc quaûn – khí quaûn taùi phaùt
Bieán chöùng muoän Roái loaïn nhu ñoäng thöïc quaûn Traøo ngöôïc daï daøy thöïc quaûn. Meàm suïn khí quaûn Dính caùc cung söôøn
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Nang thöïc quaûn ñoâi Phaùt hieän tình cô hay do cheøn eùp. 3 daïng nang dính vaøo thöïc quaûn:
Nang thöïc quaûn ñoâi thaät söïNang thöïc quaûn coù bieåu moâ hoâ haápNang thaàn kinh – ruoät.
Chaån ñoaùn: phim phoåi, TQCQ, CT, MRI
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TOÅN THÖÔNG THÖÏC QUAÛN MAÉC PHAÛI
Dò vaät thöïc quaûnDò vaät caûn quangDò vaät khoâng caûn quang
Tuùi thöøa thöïc quaûn Vieâm thöïc quaûn
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BAÁT THÖÔØNG KHUÙC NOÁI TQ-DD TRAØO NGÖÔÏC DAÏ DAØY - THÖÏC
QUAÛN (RGO, GER) THOAÙT VÒ KHE THÖÏC QUAÛN CO THAÉT TAÂM VÒ
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Traøo ngöôïc DD - TQ RGO sinh lyù RGO beänh lyù:
Naëng daàn töø sau 6w tuoåiKhoâng ñaùp öùng ñieàu trò tö theá, cheá
ñoä aênGiaûm caân, taêng caân chaämRoái loaïn thaàn kinh, giaác nguûTrieäu chöùng hoâ haáp maõnOùi ra maùu
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Chaån ñoaùn hình aûnh: Chuïp caûn quang thöïc quaûn:
Khaûo saùt thöïc quaûn, vieâm thöïc quaûn Khaûo saùt daï daøy: goùc Hiss, thoaùt vò, ñöôøng ra
daï daøy. Tìm RGO: naèm ngöûa, löôïng barium
Ño pH thöïc quaûn 24 giôø: tieâu chuaån vaøng Khaûo saùt ñoàng vò phoùng saï Sieâu aâm: 3laàn/10 phuùt.
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Thoaùt vò khe thöïc quaûn Ña soá bieåu hieän tình traïng RGO. Ñaùy vò hay toaøn boä daï daøy, taâm vò. X quang phoåi: boùng môø/saùng baát
thöôøng tröôùc coät soáng, goùc taâm hoaønh (P).
Chuïp caûn quang.
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Co thaét taâm vò Cô voøng cuoái TQ khoâng giaõn
taéc TQ, giaõn lôùn thöïc quaûn. Baát thöôøng thaàn kinh cô. Nuoát khoù, oùi keùo daøi, oùi thöùc
aên hoaøn toaøn khoâng tieâu hoaù. Ño aùp löïc thöïc quaûn Chuïp thöïc quaûn caûn quang.
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