Download - Xq nhi hinh anh ong tieu hoa
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May 2, 2004May 2, 2004 11
CHAÅN ÑOAÙN HÌNH CHAÅN ÑOAÙN HÌNH AÛNHAÛNH
OÁNG TIEÂU HOÙA TREÛ OÁNG TIEÂU HOÙA TREÛ EMEM
BS.NGUYEÃN QUYÙ KHOAÙNGBS.NGUYEÃN QUYÙ KHOAÙNGBS.NGUYEÃN QUANG TROÏNGBS.NGUYEÃN QUANG TROÏNG
KHOA CHAÅN ÑOAÙN HÌNH AÛNHBEÄNH VIEÄN AN BÌNH–TP.HCM
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22May 2, 2004May 2, 2004
DAØN BAØIDAØN BAØI
Baát saûn thöïc quaûn (Esophageal Baát saûn thöïc quaûn (Esophageal atresia).atresia).Dò vaät thöïc quaûn (Foreign body in Dò vaät thöïc quaûn (Foreign body in esophagus).esophagus).Xoay ruoät baát toaøn (Malrotation).Xoay ruoät baát toaøn (Malrotation).Heïp moân vò phì ñaïi (Hypertrophic Heïp moân vò phì ñaïi (Hypertrophic pyloric stenosis).pyloric stenosis).
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33May 2, 2004May 2, 2004
DAØN BAØIDAØN BAØI
Loàng ruoät (Intussusception).Loàng ruoät (Intussusception).Vieâm ruoät non-ñaïi traøng hoaïi töû Vieâm ruoät non-ñaïi traøng hoaïi töû (Necrotizing enterocolitis).(Necrotizing enterocolitis).Beänh Hirschsprung (Hirschsprung’s Beänh Hirschsprung (Hirschsprung’s disease).disease).Taéc ruoät phaân xu (Meconium Taéc ruoät phaân xu (Meconium ileus).ileus).
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44May 2, 2004May 2, 2004
BAÁT SAÛN THÖÏC QUAÛNBAÁT SAÛN THÖÏC QUAÛNESOPHAGEAL ATRESIAESOPHAGEAL ATRESIA
Beänh gaëp vôùi taàn suaát 1/5000.Beänh gaëp vôùi taàn suaát 1/5000.1/3 soá tröôøng hôïp ñöôïc chaån ñoaùn 1/3 soá tröôøng hôïp ñöôïc chaån ñoaùn tröôùc sanh (24 tuaàn tuoåi) nhôø tình traïng tröôùc sanh (24 tuaàn tuoåi) nhôø tình traïng ña oái vaø khoâng thaáy daï daøy treân sieâu ña oái vaø khoâng thaáy daï daøy treân sieâu aâm. aâm. Ho vaø xanh tím ngay sau laàn buù ñaàu Ho vaø xanh tím ngay sau laàn buù ñaàu tieân laø bieåu hieän laâm saøng thöôøng tieân laø bieåu hieän laâm saøng thöôøng gaëp.gaëp.30% treû baát saûn thöïc quaûn bò sanh non.30% treû baát saûn thöïc quaûn bò sanh non.
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55May 2, 2004May 2, 2004
BAÁT SAÛN THÖÏC QUAÛNBAÁT SAÛN THÖÏC QUAÛNESOPHAGEAL ATRESIAESOPHAGEAL ATRESIA
Coù theå coù nhöõng dò daïng phoái hôïp Coù theå coù nhöõng dò daïng phoái hôïp ((VACTERLVACTERL) hoaëc dò daïng pheá quaûn-) hoaëc dò daïng pheá quaûn-phoåi:phoåi: VVertebral abnormalities.ertebral abnormalities. AAnal atresia.nal atresia. CCardiac abnormalities.ardiac abnormalities. TTracheoesophageal fistula.racheoesophageal fistula. EEsophageal atresia.sophageal atresia. RRenal agenesis and dysplasia.enal agenesis and dysplasia. LLimb defects. imb defects.
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66May 2, 2004May 2, 2004
Baát Baát saûn saûn thöïc thöïc
quaûnquaûn
Phaân loaïi Phaân loaïi cuûa LADDcuûa LADD II IIII IIIIII IVIV
Tyû leäTyû leä 5–10 %5–10 % 1 %1 % 85-95 %85-95 % < 5 %< 5 %
Moâ taûMoâ taûBaát saûn Baát saûn
khoâng coù khoâng coù loã doøloã doø
Baát saûn Baát saûn vôùi loã vôùi loã doø ôû doø ôû
ñoaïn gaànñoaïn gaàn
Baát saûn Baát saûn vôùi loã vôùi loã doø ôû doø ôû
ñoaïn xañoaïn xa
Baát saûn Baát saûn vôùi loã vôùi loã doø ôû doø ôû
ñoaïn gaàn ñoaïn gaàn vaø xavaø xa
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77May 2, 2004May 2, 2004
BAÁT SAÛN THÖÏC QUAÛNBAÁT SAÛN THÖÏC QUAÛNESOPHAGEAL ATRESIAESOPHAGEAL ATRESIA
Phim ngöïc-buïng vôùi sonde trong thöïc Phim ngöïc-buïng vôùi sonde trong thöïc quaûn:quaûn: Thaáy sonde döøng laïi ôû möùc T2-T4.Thaáy sonde döøng laïi ôû möùc T2-T4. Khoâng thaáy khí trong oáng tieâu hoùa Khoâng thaáy khí trong oáng tieâu hoùa
(type I,II) hoaëc coù nhieàu khí (type (type I,II) hoaëc coù nhieàu khí (type III,IV).III,IV).
Coù theå coù caùc dò daïng ôû cung Coù theå coù caùc dò daïng ôû cung söôøn-coät soáng hoaëc pheá quaûn-söôøn-coät soáng hoaëc pheá quaûn-phoåi keát hôïp.phoåi keát hôïp.
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88May 2, 2004May 2, 2004
BAÁT SAÛN THÖÏC QUAÛNBAÁT SAÛN THÖÏC QUAÛNESOPHAGEAL ATRESIAESOPHAGEAL ATRESIA
Bình thöôøng sau sanh:Bình thöôøng sau sanh: 10’:thaáy ñöôïc khí trong daï daøy.10’:thaáy ñöôïc khí trong daï daøy. 30’:thaáy ñöôïc khí trong taù traøng.30’:thaáy ñöôïc khí trong taù traøng. 3h:thaáy ñöôïc khí trong hoài traøng.3h:thaáy ñöôïc khí trong hoài traøng. 8h:thaáy ñöôïc khí trong tröïc traøng.8h:thaáy ñöôïc khí trong tröïc traøng.
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99May 2, 2004May 2, 2004
BAÁT SAÛN THÖÏC QUAÛNBAÁT SAÛN THÖÏC QUAÛNESOPHAGEAL ATRESIAESOPHAGEAL ATRESIA
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1010May 2, 2004May 2, 2004
BAÁT SAÛN THÖÏC QUAÛNBAÁT SAÛN THÖÏC QUAÛNESOPHAGEAL ATRESIAESOPHAGEAL ATRESIA
Sonde trong tuùi cuøng thöïc quaûn
Khoâng coù khí trong oáng tieâu hoùa
TYPE I
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1111May 2, 2004May 2, 2004
BAÁT SAÛN THÖÏC QUAÛNBAÁT SAÛN THÖÏC QUAÛNESOPHAGEAL ATRESIAESOPHAGEAL ATRESIA
Khoâng coù khí trong oáng tieâu hoùa
TYPE I
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1212May 2, 2004May 2, 2004
BAÁT SAÛN THÖÏC QUAÛNBAÁT SAÛN THÖÏC QUAÛNESOPHAGEAL ATRESIAESOPHAGEAL ATRESIA
Sonde trong tuùi cuøng thöïc quaûn
Khí nhieàu trong oáng tieâu hoùa
TYPE III
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1313May 2, 2004May 2, 2004
BAÁT SAÛN THÖÏC QUAÛNBAÁT SAÛN THÖÏC QUAÛNESOPHAGEAL ATRESIAESOPHAGEAL ATRESIA
Sonde cuoän troøn trong tuùi cuøng thöïc quaûn
Khí nhieàu trong oáng tieâu hoùaTYPE III Thuoác caûn quang
döøng ôû tuùi cuøng thöïc quaûn
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1414May 2, 2004May 2, 2004
BAÁT SAÛN THÖÏC QUAÛNBAÁT SAÛN THÖÏC QUAÛNESOPHAGEAL ATRESIAESOPHAGEAL ATRESIA
VACTERL SYNDROME
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1515May 2, 2004May 2, 2004
DÒ VAÄT THÖÏC QUAÛNDÒ VAÄT THÖÏC QUAÛN FOREIGN BODY IN ESOPHAGUSFOREIGN BODY IN ESOPHAGUS
Fish bone impacted in esophagusFish bone impacted in esophagus
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1616May 2, 2004May 2, 2004
DÒ VAÄT THÖÏC QUAÛNDÒ VAÄT THÖÏC QUAÛN FOREIGN BODY IN ESOPHAGUSFOREIGN BODY IN ESOPHAGUS
Coin in esophagusCoin in esophagus
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1717May 2, 2004May 2, 2004
DÒ VAÄT THÖÏC QUAÛNDÒ VAÄT THÖÏC QUAÛN FOREIGN BODY IN ESOPHAGUSFOREIGN BODY IN ESOPHAGUS
Jack in esophagusJack in esophagus
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1818May 2, 2004May 2, 2004
DÒ VAÄT THÖÏC QUAÛNDÒ VAÄT THÖÏC QUAÛN FOREIGN BODY IN ESOPHAGUSFOREIGN BODY IN ESOPHAGUS
Air in esophagusAir in esophagus Barium esophagramBarium esophagram
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1919May 2, 2004May 2, 2004
DÒ VAÄT THÖÏC QUAÛNDÒ VAÄT THÖÏC QUAÛN FOREIGN BODY IN ESOPHAGUSFOREIGN BODY IN ESOPHAGUS
Impacted Toy HorseImpacted Toy Horse
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2020May 2, 2004May 2, 2004
XOAY RUOÄT BAÁT TOAØNXOAY RUOÄT BAÁT TOAØNEMBRYOLOGYEMBRYOLOGY
Midgut traûi daøi töø goùc taù-hoãng traøng ñeán giöõa ÑT ngang.Vaøo tuaàn thöù 6 cuûa thôøi kyø baøo thai,coù söï thoaùt vò midgut sinh lyù vaøo trong cuoáng roán.Luùc naøy goùc taù-hoãng traøng naèm ôû phía tröôùc vaø beân (P) ÑMMTTT,trong luùc phaàn manh-ñaïi traøng naèm ôû phía sau vaø beân (T) ÑMMTTT (hình A).
Ñeán tuaàn thöù 12 cuûa thôøi kyø baøo thai,khi midgut trôû laïi trong khoang cô theå (intracoelomic position) thì caû goùc taù-hoãng traøng laãn phaàn manh-ñaïi traøng phaûi xoay ngöôïc chieàu kim ñoàng hoà moät goùc 2700 quanh truïc laø ÑMMTTT.Luùc ñoù goùc taù-hoãng traøng baêng qua phía sau ÑMMTTT ñeå coá ñònh vaøo thaønh buïng sau bôûi daây chaèng Treitz ôû phaàn tö treân (T) oå buïng (ngang möùc Haønh taù traøng ôû beân (P) coät soáng).Trong luùc manh traønh baêng qua phía tröôùc ÑMMTTT ñeå ñònh vò ôû phaàn tö döôùi (P) oå buïng (hình B-C).ÑT leân vaø ÑT xuoáng ñöôïc coá ñònh vaøo thaønh buïng sau.Reã maïc treo ruoät non hình thaønh traûi daøi töø daây chaèng Treitz ñeán goùc manh traøng (hình C).TMMTTT chaïy song song vaø naèm beân (P) ÑMMTTT.
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2121May 2, 2004May 2, 2004
XOAY RUOÄT BAÁT TOAØNXOAY RUOÄT BAÁT TOAØNEMBRYOLOGYEMBRYOLOGY
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2222May 2, 2004May 2, 2004
XOAY RUOÄT BAÁT TOAØNXOAY RUOÄT BAÁT TOAØNEMBRYOLOGYEMBRYOLOGY
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2323May 2, 2004May 2, 2004
XOAY RUOÄT BAÁT TOAØNXOAY RUOÄT BAÁT TOAØNEMBRYOLOGYEMBRYOLOGY
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2424May 2, 2004May 2, 2004
XOAY RUOÄT BAÁT TOAØNXOAY RUOÄT BAÁT TOAØNEMBRYOLOGYEMBRYOLOGY
6 WEEKS
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2525May 2, 2004May 2, 2004
XOAY RUOÄT BAÁT TOAØNXOAY RUOÄT BAÁT TOAØNEMBRYOLOGYEMBRYOLOGY
10 WEEKS 12 WEEKSXOAY RUOÄT BÌNH
THÖÔØNG
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2626May 2, 2004May 2, 2004
XOAY RUOÄT BAÁT TOAØNXOAY RUOÄT BAÁT TOAØNEMBRYOLOGYEMBRYOLOGY
Reã maïc treo ÑT ngang (P) Reã maïc treo ÑT ngang (T)
Reã maïc treo ruoät non Reã maïc treo ÑT sigma
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2727May 2, 2004May 2, 2004
XOAY RUOÄT BAÁT TOAØNXOAY RUOÄT BAÁT TOAØNMALROTATIONMALROTATION
Ta goïi laø Xoay ruoät baát toaøn khi sau tuaàn thöù 12 cuûa thôøi kyø baøo thai maø ruoät chæ xoay < 2700.Ngöôøi ta chia ra 3 theå: Nonrotation. Incomplete rotation. Reversed rotation.
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2828May 2, 2004May 2, 2004
XOAY RUOÄT BAÁT TOAØNXOAY RUOÄT BAÁT TOAØNMALROTATIONMALROTATION
Journal de Radiologie.Tome 85.Avril 2004.p.577.
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2929May 2, 2004May 2, 2004
XOAY RUOÄT BAÁT TOAØNXOAY RUOÄT BAÁT TOAØNMALROTATION-NONROTATIONMALROTATION-NONROTATION
Nonrotation: Ruoät khoâng xoay hoaëc chæ xoay <
900 ngöôïc chieàu kim ñoàng hoà. Ñaây laø theå thöôøng gaëp,ít khi gaây
bieán chöùng. Toaøn boä ruoät non naèm beân (P)
vaø toaøn boä Ñaïi traøng naèm beân (T) oå buïng.
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3030May 2, 2004May 2, 2004
XOAY RUOÄT BAÁT TOAØNXOAY RUOÄT BAÁT TOAØN MALROTATION-NONROTATIONMALROTATION-NONROTATION
Goùc taù-hoãng traøng naèm beân (P) oå buïng vaø thaáp hôn Haønh taù traøng.
TMMTTT naèm beân (T) ÑMMTTT (ñaûo ngöôïc vò trí so vôùi bình thöôøng).
Do reã maïc treo ruoät non ngaén vaø coá ñònh yeáu vaøo thaønh buïng Deã bò Xoaén ruoät (Midgut volvulus).
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3131May 2, 2004May 2, 2004
XOAY RUOÄT BAÁT TOAØNXOAY RUOÄT BAÁT TOAØN MALROTATION-NONROTATIONMALROTATION-NONROTATION
Neáu Xoaén ruoät xaûy ra thì maïc treo vaø ruoät non xoaén quanh truïc laø ÑMMTTT theo chieàu kim ñoàng hoà taïo neân Daáu hieäu xoaén môû nuùt chai (Corkscrew sign) treân phim X quang buïng coù uoáng Baryte.
Treân Sieâu aâm vaø CT scanner ta coù Daáu hieäu Xoaùy nöôùc (Whirlpool sign) vôùi trung taâm laø ÑMMTTT.
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3232May 2, 2004May 2, 2004
XOAY RUOÄT BAÁT TOAØNXOAY RUOÄT BAÁT TOAØN MALROTATION-NONROTATIONMALROTATION-NONROTATION
Sieâu aâm Doppler maøu: ÑMMTTT ôû trung taâm xoaùy nöôùc
(coù theå bò taéc do huyeát khoái). Flow cuûa TMMTTT quaán quanh
ÑMMTTT theo chieàu kim ñoàng hoà. CT scanner: Cho hình aûnh töông töï vôùi trung taâm xoaùy nöôùc laø ÑMMTTT vaø quaán quanh laø maïc treo ruoät non.
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3333May 2, 2004May 2, 2004
XOAY RUOÄT BAÁT TOAØNXOAY RUOÄT BAÁT TOAØN MALROTATION-NONROTATIONMALROTATION-NONROTATION
Toaøn boä ruoät non naèm beân (P) oå buïng.
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3434May 2, 2004May 2, 2004
XOAY RUOÄT BAÁT TOAØNXOAY RUOÄT BAÁT TOAØN MALROTATION-NONROTATIONMALROTATION-NONROTATION
Toaøn boä ruoät non naèm beân (P) oå buïng vaø toaøn boä ÑT naèm beân (T) oå buïng.
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3535May 2, 2004May 2, 2004
XOAY RUOÄT BAÁT TOAØNXOAY RUOÄT BAÁT TOAØN MALROTATION-NONROTATIONMALROTATION-NONROTATION
Vò trí baát thöôøng cuûa taù traøng goùc Treitz.Caùc quai ruoät non naèm beân (P)
oå buïng
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3636May 2, 2004May 2, 2004
XOAY RUOÄT BAÁT TOAØNXOAY RUOÄT BAÁT TOAØN MALROTATION-NONROTATIONMALROTATION-NONROTATION
Vò trí baát thöôøng cuûa taù traøng goùc Treitz.Caùc quai ruoät non naèm
beân (P) oå buïng
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3737May 2, 2004May 2, 2004
XOAY RUOÄT BAÁT TOAØNXOAY RUOÄT BAÁT TOAØN MALROTATION-NONROTATIONMALROTATION-NONROTATION
Vò trí baát thöôøng cuûa taù traøng goùc Treitz.Caùc quai ruoät non naèm
beân (P) oå buïng
![Page 38: Xq nhi hinh anh ong tieu hoa](https://reader035.vdocuments.pub/reader035/viewer/2022070601/58839e251a28ab2b568b6f29/html5/thumbnails/38.jpg)
3838May 2, 2004May 2, 2004
BÌNH THÖÔØNG
XOAY RUOÄT BAÁT TOAØNXOAY RUOÄT BAÁT TOAØN MALROTATION-NONROTATIONMALROTATION-NONROTATION
LAÙTCAÉT NGANG
NONROTATION
![Page 39: Xq nhi hinh anh ong tieu hoa](https://reader035.vdocuments.pub/reader035/viewer/2022070601/58839e251a28ab2b568b6f29/html5/thumbnails/39.jpg)
3939May 2, 2004May 2, 2004
XOAY RUOÄT BAÁT TOAØNXOAY RUOÄT BAÁT TOAØN MALROTATION-NONROTATIONMALROTATION-NONROTATION
![Page 40: Xq nhi hinh anh ong tieu hoa](https://reader035.vdocuments.pub/reader035/viewer/2022070601/58839e251a28ab2b568b6f29/html5/thumbnails/40.jpg)
4040May 2, 2004May 2, 2004
XOAY RUOÄT BAÁT TOAØNXOAY RUOÄT BAÁT TOAØN MALROTATION-NONROTATIONMALROTATION-NONROTATION
Yuriko Okino, MD, et al.Root of the Small-Bowel Mesentery: Correlative Anatomy and CT Features of Pathologic Conditions.(Radiographics. 2001;21:1475-1490.)
CECT (NONROTATION):Toaøn boä ñaïi traøng naèm beân (T) oå buïng.ÑMMTTT (muõi teân thaúng) naèm beân (P) TMMTTT.TMMTTD (muõi teân cong) naèm ôû vò trí bình thöôøng.(Ñaïi traøng giaõn lôùn do U ñaïi traøng sigma).
![Page 41: Xq nhi hinh anh ong tieu hoa](https://reader035.vdocuments.pub/reader035/viewer/2022070601/58839e251a28ab2b568b6f29/html5/thumbnails/41.jpg)
4141May 2, 2004May 2, 2004
XOAY RUOÄT BAÁT TOAØNXOAY RUOÄT BAÁT TOAØN MALROTATION-NONROTATIONMALROTATION-NONROTATION
![Page 42: Xq nhi hinh anh ong tieu hoa](https://reader035.vdocuments.pub/reader035/viewer/2022070601/58839e251a28ab2b568b6f29/html5/thumbnails/42.jpg)
4242May 2, 2004May 2, 2004
XOAY RUOÄT BAÁT XOAY RUOÄT BAÁT TOAØNTOAØN
MALROTATION-NONROTATIONMALROTATION-NONROTATION
![Page 43: Xq nhi hinh anh ong tieu hoa](https://reader035.vdocuments.pub/reader035/viewer/2022070601/58839e251a28ab2b568b6f29/html5/thumbnails/43.jpg)
4343May 2, 2004May 2, 2004
XOAY RUOÄT BAÁT TOAØNXOAY RUOÄT BAÁT TOAØN MALROTATION-NONROTATIONMALROTATION-NONROTATION
MIDGUT VOLVULUS CORKSCREW SIGN
![Page 44: Xq nhi hinh anh ong tieu hoa](https://reader035.vdocuments.pub/reader035/viewer/2022070601/58839e251a28ab2b568b6f29/html5/thumbnails/44.jpg)
4444May 2, 2004May 2, 2004
XOAY RUOÄT BAÁT TOAØNXOAY RUOÄT BAÁT TOAØN MALROTATION-NONROTATIONMALROTATION-NONROTATION
MIDGUT VOLVULUS WHIRLPOOL SIGN
![Page 45: Xq nhi hinh anh ong tieu hoa](https://reader035.vdocuments.pub/reader035/viewer/2022070601/58839e251a28ab2b568b6f29/html5/thumbnails/45.jpg)
4545May 2, 2004May 2, 2004
XOAY RUOÄT BAÁT TOAØNXOAY RUOÄT BAÁT TOAØN MALROTATION-NONROTATIONMALROTATION-NONROTATION
WHIRLPOOL SIGN
![Page 46: Xq nhi hinh anh ong tieu hoa](https://reader035.vdocuments.pub/reader035/viewer/2022070601/58839e251a28ab2b568b6f29/html5/thumbnails/46.jpg)
4646May 2, 2004May 2, 2004
XOAY RUOÄT BAÁT TOAØNXOAY RUOÄT BAÁT TOAØN MALROTATION-NONROTATIONMALROTATION-NONROTATION
Vò trí baát thöôøng cuûa taù traøng goùc Treitz (bình thöôøng taù traøng goùc Treitz naèm beân (T) coät soáng vaø ôû ngang möùc haønh taù traøng (bulb).Keøm theo laø hình aûnh xoaén oác cuûa
ruoät non (Corkscrew signmidgut volvulus).
![Page 47: Xq nhi hinh anh ong tieu hoa](https://reader035.vdocuments.pub/reader035/viewer/2022070601/58839e251a28ab2b568b6f29/html5/thumbnails/47.jpg)
4747May 2, 2004May 2, 2004
XOAY RUOÄT BAÁT TOAØNXOAY RUOÄT BAÁT TOAØN MALROTATION-NONROTATIONMALROTATION-NONROTATION
CORKSCREW SIGN: MALROTATION WITH MIDGUT VOLVULUS
![Page 48: Xq nhi hinh anh ong tieu hoa](https://reader035.vdocuments.pub/reader035/viewer/2022070601/58839e251a28ab2b568b6f29/html5/thumbnails/48.jpg)
4848May 2, 2004May 2, 2004
XOAY RUOÄT BAÁT TOAØNXOAY RUOÄT BAÁT TOAØN MALROTATION-NONROTATIONMALROTATION-NONROTATION
CORKSCREW SIGN: MALROTATION WITH MIDGUT VOLVULUS
![Page 49: Xq nhi hinh anh ong tieu hoa](https://reader035.vdocuments.pub/reader035/viewer/2022070601/58839e251a28ab2b568b6f29/html5/thumbnails/49.jpg)
4949May 2, 2004May 2, 2004
XOAY RUOÄT BAÁT TOAØNXOAY RUOÄT BAÁT TOAØN MALROTATION-NONROTATIONMALROTATION-NONROTATION
WHIRLPOOL SIGN
![Page 50: Xq nhi hinh anh ong tieu hoa](https://reader035.vdocuments.pub/reader035/viewer/2022070601/58839e251a28ab2b568b6f29/html5/thumbnails/50.jpg)
5050May 2, 2004May 2, 2004
XOAY RUOÄT BAÁT TOAØNXOAY RUOÄT BAÁT TOAØN MALROTATION-NONROTATIONMALROTATION-NONROTATION
WHIRLPOOL SIGN
Khoâng coù tín hieäu Doppler ôû ÑMMTTT.
Coù tín hieäu Doppler ôû ÑMMTTT.
![Page 51: Xq nhi hinh anh ong tieu hoa](https://reader035.vdocuments.pub/reader035/viewer/2022070601/58839e251a28ab2b568b6f29/html5/thumbnails/51.jpg)
5151May 2, 2004May 2, 2004
XOAY RUOÄT BAÁT TOAØNXOAY RUOÄT BAÁT TOAØN MALROTATION-NONROTATIONMALROTATION-NONROTATION
WHIRLPOOL SIGN
![Page 52: Xq nhi hinh anh ong tieu hoa](https://reader035.vdocuments.pub/reader035/viewer/2022070601/58839e251a28ab2b568b6f29/html5/thumbnails/52.jpg)
5252May 2, 2004May 2, 2004
XOAY RUOÄT BAÁT TOAØNXOAY RUOÄT BAÁT TOAØN MALROTATION-NONROTATIONMALROTATION-NONROTATION
WHIRLPOOL SIGN
![Page 53: Xq nhi hinh anh ong tieu hoa](https://reader035.vdocuments.pub/reader035/viewer/2022070601/58839e251a28ab2b568b6f29/html5/thumbnails/53.jpg)
5353May 2, 2004May 2, 2004
XOAY RUOÄT BAÁT TOAØNXOAY RUOÄT BAÁT TOAØN MALROTATION-NONROTATIONMALROTATION-NONROTATION
WHIRLPOOL SIGN
Journal de Radiologie.Tome 85.Avril 2004.p.578.
![Page 54: Xq nhi hinh anh ong tieu hoa](https://reader035.vdocuments.pub/reader035/viewer/2022070601/58839e251a28ab2b568b6f29/html5/thumbnails/54.jpg)
5454May 2, 2004May 2, 2004
XOAY RUOÄT BAÁT TOAØNXOAY RUOÄT BAÁT TOAØN MALROTATION-NONROTATIONMALROTATION-NONROTATION
Yuriko Okino, MD, et al.Root of the Small-Bowel Mesentery: Correlative Anatomy and CT Features of Pathologic Conditions.(Radiographics. 2001;21:1475-1490.)
Precontrast CT (MIDGUT VOLVULUS):Daáu hieäu xoaùy nöôùc ñieån hình (ñaàu muõi teân) quanh ÑMMTTT.Chuù yù raèng coù söï taêng ñaäm ñoä tieân phaùt ôû trung taâm xoaùy nöôùc (muõi teân)Thrombus ôû trong ÑMMTTT.
![Page 55: Xq nhi hinh anh ong tieu hoa](https://reader035.vdocuments.pub/reader035/viewer/2022070601/58839e251a28ab2b568b6f29/html5/thumbnails/55.jpg)
5555May 2, 2004May 2, 2004
XOAY RUOÄT BAÁT TOAØNXOAY RUOÄT BAÁT TOAØNMALROTATION-INCOMPLETE ROTATIONMALROTATION-INCOMPLETE ROTATION
Incomplete rotation: Ruoät chæ xoay ngöôïc chieàu kim ñoàng
hoà töø 900 ñeán < 2700. Goùc taù-hoãng traøng naèm beân (P)
hoaëc giöõa buïng, phía sau ÑMMTTT,coøn manh traøng naèm ôû phía tröôùc taù traøng ñöôïc coá ñònh vaøo thaønh buïng sau bôûi nhöõng neáp maøng buïng baêng qua phía tröôùc taù traøng (Ladd’s bands).
![Page 56: Xq nhi hinh anh ong tieu hoa](https://reader035.vdocuments.pub/reader035/viewer/2022070601/58839e251a28ab2b568b6f29/html5/thumbnails/56.jpg)
5656May 2, 2004May 2, 2004
XOAY RUOÄT BAÁT TOAØNXOAY RUOÄT BAÁT TOAØN MALROTATION-INCOMPLETE ROTATIONMALROTATION-INCOMPLETE ROTATION
Ladd’s bands coù theå gaây ngheït taù traøng do cheøn eùp (hình B).
Reã maïc treo ruoät non hình thaønh raát ngaén (hình B),ñieàu naøy khieán cho maïc treo vaø ruoät non coù theå xoaén quanh truïc ÑMMTTT theo chieàu kim ñoàng hoà (hình C-Midgut volvulus) gioáng nhö theå Nonrotation.
![Page 57: Xq nhi hinh anh ong tieu hoa](https://reader035.vdocuments.pub/reader035/viewer/2022070601/58839e251a28ab2b568b6f29/html5/thumbnails/57.jpg)
5757May 2, 2004May 2, 2004
XOAY RUOÄT BAÁT TOAØNXOAY RUOÄT BAÁT TOAØN MALROTATION-INCOMPLETE ROTATIONMALROTATION-INCOMPLETE ROTATION
Reã maïc treo ruoät non
ÑMMTTT
Ladd’s bands
![Page 58: Xq nhi hinh anh ong tieu hoa](https://reader035.vdocuments.pub/reader035/viewer/2022070601/58839e251a28ab2b568b6f29/html5/thumbnails/58.jpg)
5858May 2, 2004May 2, 2004
XOAY RUOÄT BAÁT TOAØNXOAY RUOÄT BAÁT TOAØN MALROTATION-INCOMPLETE ROTATIONMALROTATION-INCOMPLETE ROTATION
![Page 59: Xq nhi hinh anh ong tieu hoa](https://reader035.vdocuments.pub/reader035/viewer/2022070601/58839e251a28ab2b568b6f29/html5/thumbnails/59.jpg)
5959May 2, 2004May 2, 2004
XOAY RUOÄT BAÁT TOAØNXOAY RUOÄT BAÁT TOAØN MALROTATION-INCOMPLETE ROTATIONMALROTATION-INCOMPLETE ROTATION
Vò trí baát thöôøng cuûa taù traøng goùc Treitz.
![Page 60: Xq nhi hinh anh ong tieu hoa](https://reader035.vdocuments.pub/reader035/viewer/2022070601/58839e251a28ab2b568b6f29/html5/thumbnails/60.jpg)
6060May 2, 2004May 2, 2004
XOAY RUOÄT BAÁT TOAØNXOAY RUOÄT BAÁT TOAØN MALROTATION-INCOMPLETE ROTATIONMALROTATION-INCOMPLETE ROTATION
Giaõn lôùn ñoaïn II taù traøngTaù traøng bò taéc bôûi daûi xô LADD vaø caùc
quai ruoät non naèm beân (P) oå buïng
![Page 61: Xq nhi hinh anh ong tieu hoa](https://reader035.vdocuments.pub/reader035/viewer/2022070601/58839e251a28ab2b568b6f29/html5/thumbnails/61.jpg)
6161May 2, 2004May 2, 2004
XOAY RUOÄT BAÁT TOAØNXOAY RUOÄT BAÁT TOAØN MALROTATION-INCOMPLETE ROTATIONMALROTATION-INCOMPLETE ROTATION
Chæ thaáy khí trong daï daøy.Khoâng thaáy khí trong caùc quai ruoät Taéc ruoät cao.
![Page 62: Xq nhi hinh anh ong tieu hoa](https://reader035.vdocuments.pub/reader035/viewer/2022070601/58839e251a28ab2b568b6f29/html5/thumbnails/62.jpg)
6262May 2, 2004May 2, 2004
XOAY RUOÄT BAÁT TOAØNXOAY RUOÄT BAÁT TOAØN MALROTATION-INCOMPLETE ROTATIONMALROTATION-INCOMPLETE ROTATION
Giaõn lôùn ñoaïn II vaø phaàn ñaàu ñoaïn III taù
traøng,caùc quai ruoät non naèm beân (P) oå buïng.
Chuïp treã thaáy manh traøng naèm treân cao,ôû
giöõa buïng.
![Page 63: Xq nhi hinh anh ong tieu hoa](https://reader035.vdocuments.pub/reader035/viewer/2022070601/58839e251a28ab2b568b6f29/html5/thumbnails/63.jpg)
6363May 2, 2004May 2, 2004
XOAY RUOÄT BAÁT TOAØNXOAY RUOÄT BAÁT TOAØN MALROTATION-INCOMPLETE ROTATIONMALROTATION-INCOMPLETE ROTATION
![Page 64: Xq nhi hinh anh ong tieu hoa](https://reader035.vdocuments.pub/reader035/viewer/2022070601/58839e251a28ab2b568b6f29/html5/thumbnails/64.jpg)
6464May 2, 2004May 2, 2004
XOAY RUOÄT BAÁT TOAØNXOAY RUOÄT BAÁT TOAØN MALROTATION-INCOMPLETE ROTATIONMALROTATION-INCOMPLETE ROTATION
![Page 65: Xq nhi hinh anh ong tieu hoa](https://reader035.vdocuments.pub/reader035/viewer/2022070601/58839e251a28ab2b568b6f29/html5/thumbnails/65.jpg)
6565May 2, 2004May 2, 2004
XOAY RUOÄT BAÁT TOAØNXOAY RUOÄT BAÁT TOAØNMALROTATION-REVERSED ROTATIONMALROTATION-REVERSED ROTATION
Reversed rotation: Theå beänh hieám gaëp. Ruoät xoay theo chieàu kim ñoàng hoà. Haäu quaû laø: Taù traøng naèm tröôùc
ÑMMTTT,coøn Ñaïi traøng ngang laïi naèm sau ÑMMTTT.Do vaäy,ÑT ngang coù theå bò ngheït do ÑMMTTT cheøn eùp.
![Page 66: Xq nhi hinh anh ong tieu hoa](https://reader035.vdocuments.pub/reader035/viewer/2022070601/58839e251a28ab2b568b6f29/html5/thumbnails/66.jpg)
6666May 2, 2004May 2, 2004
HEÏP MOÂN VÒ PHÌ ÑAÏIHEÏP MOÂN VÒ PHÌ ÑAÏIHYPERTROPHIC PYLORIC STENOSISHYPERTROPHIC PYLORIC STENOSIS
Beänh ñaëc tröng bôûi söï phì ñaïi lôùp Beänh ñaëc tröng bôûi söï phì ñaïi lôùp cô voøng ôû vuøng moân vò (lôùp cô cô voøng ôû vuøng moân vò (lôùp cô doïc khoâng bò aûnh höôûng).doïc khoâng bò aûnh höôûng).Beänh thöôøng gaëp giöõa 2-6 tuaàn Beänh thöôøng gaëp giöõa 2-6 tuaàn sau sanh (20% xuaát hieän ngay sau sau sanh (20% xuaát hieän ngay sau sanh): noân oùi vaø maát nöôùc.sanh): noân oùi vaø maát nöôùc.Beänh hieám thaáy sau 12 tuaàn tuoåi.Beänh hieám thaáy sau 12 tuaàn tuoåi.
![Page 67: Xq nhi hinh anh ong tieu hoa](https://reader035.vdocuments.pub/reader035/viewer/2022070601/58839e251a28ab2b568b6f29/html5/thumbnails/67.jpg)
6767May 2, 2004May 2, 2004
HEÏP MOÂN VÒ PHÌ ÑAÏIHEÏP MOÂN VÒ PHÌ ÑAÏIHYPERTROPHIC PYLORIC STENOSISHYPERTROPHIC PYLORIC STENOSIS
Nam/Nöõ=4/1.Nam/Nöõ=4/1.Laâm saøng:Thaáy soùng nhu ñoäng Laâm saøng:Thaáy soùng nhu ñoäng hoaëc sôø thaáy 1 khoái gioáng quaû hoaëc sôø thaáy 1 khoái gioáng quaû oliu ôû vuøng haï söôøn (P).oliu ôû vuøng haï söôøn (P).X quang:Daï daøy tröôùng hôi,coù X quang:Daï daøy tröôùng hôi,coù hoaëc khoâng coù möïc thuûy-khí hoaëc khoâng coù möïc thuûy-khí trong daï daøy. Keøm theo laø hình trong daï daøy. Keøm theo laø hình aûnh ít hôi trong caùc quai ruoät.aûnh ít hôi trong caùc quai ruoät.
![Page 68: Xq nhi hinh anh ong tieu hoa](https://reader035.vdocuments.pub/reader035/viewer/2022070601/58839e251a28ab2b568b6f29/html5/thumbnails/68.jpg)
6868May 2, 2004May 2, 2004
HEÏP MOÂN VÒ PHÌ ÑAÏIHEÏP MOÂN VÒ PHÌ ÑAÏIHYPERTROPHIC PYLORIC STENOSISHYPERTROPHIC PYLORIC STENOSIS
Sieâu aâm:Ño kích thöôùc moân vòSieâu aâm:Ño kích thöôùc moân vò Bình thöôøng:chieàu daøi Bình thöôøng:chieàu daøi ≤ ≤ 10mm, 10mm,
beà daøy beà daøy ≤≤ 3mm. 3mm. HPS:HPS:
chieàu daøi >16mm,beà daøy > chieàu daøi >16mm,beà daøy > 4mm.4mm.Khaûo saùt ñoäng haàu nhö khoâng Khaûo saùt ñoäng haàu nhö khoâng thaáy moân vò môû.thaáy moân vò môû.
![Page 69: Xq nhi hinh anh ong tieu hoa](https://reader035.vdocuments.pub/reader035/viewer/2022070601/58839e251a28ab2b568b6f29/html5/thumbnails/69.jpg)
6969May 2, 2004May 2, 2004
HEÏP MOÂN VÒ PHÌ ÑAÏIHEÏP MOÂN VÒ PHÌ ÑAÏIHYPERTROPHIC PYLORIC STENOSISHYPERTROPHIC PYLORIC STENOSIS
![Page 70: Xq nhi hinh anh ong tieu hoa](https://reader035.vdocuments.pub/reader035/viewer/2022070601/58839e251a28ab2b568b6f29/html5/thumbnails/70.jpg)
7070May 2, 2004May 2, 2004
HEÏP MOÂN VÒ PHÌ ÑAÏIHEÏP MOÂN VÒ PHÌ ÑAÏIHYPERTROPHIC PYLORIC STENOSISHYPERTROPHIC PYLORIC STENOSIS
MOÂN VÒ BÌNH THÖÔØNG
![Page 71: Xq nhi hinh anh ong tieu hoa](https://reader035.vdocuments.pub/reader035/viewer/2022070601/58839e251a28ab2b568b6f29/html5/thumbnails/71.jpg)
7171May 2, 2004May 2, 2004
HEÏP MOÂN VÒ PHÌ ÑAÏIHEÏP MOÂN VÒ PHÌ ÑAÏIHYPERTROPHIC PYLORIC STENOSISHYPERTROPHIC PYLORIC STENOSIS
Caterpillar sign: Daáu hieäu con saâu böôùm
(Do daï daøy giaõn lôùn vaø taêng nhu ñoäng).
![Page 72: Xq nhi hinh anh ong tieu hoa](https://reader035.vdocuments.pub/reader035/viewer/2022070601/58839e251a28ab2b568b6f29/html5/thumbnails/72.jpg)
7272May 2, 2004May 2, 2004
HEÏP MOÂN VÒ PHÌ ÑAÏIHEÏP MOÂN VÒ PHÌ ÑAÏIHYPERTROPHIC PYLORIC STENOSISHYPERTROPHIC PYLORIC STENOSIS
Daï daøy giaõn lôùn chöùa ñaày khí (D >
7cm)
![Page 73: Xq nhi hinh anh ong tieu hoa](https://reader035.vdocuments.pub/reader035/viewer/2022070601/58839e251a28ab2b568b6f29/html5/thumbnails/73.jpg)
7373May 2, 2004May 2, 2004
HEÏP MOÂN VÒ PHÌ ÑAÏIHEÏP MOÂN VÒ PHÌ ÑAÏIHYPERTROPHIC PYLORIC STENOSISHYPERTROPHIC PYLORIC STENOSIS
![Page 74: Xq nhi hinh anh ong tieu hoa](https://reader035.vdocuments.pub/reader035/viewer/2022070601/58839e251a28ab2b568b6f29/html5/thumbnails/74.jpg)
7474May 2, 2004May 2, 2004
HEÏP MOÂN VÒ PHÌ ÑAÏIHEÏP MOÂN VÒ PHÌ ÑAÏIHYPERTROPHIC PYLORIC STENOSISHYPERTROPHIC PYLORIC STENOSIS
![Page 75: Xq nhi hinh anh ong tieu hoa](https://reader035.vdocuments.pub/reader035/viewer/2022070601/58839e251a28ab2b568b6f29/html5/thumbnails/75.jpg)
7575May 2, 2004May 2, 2004
HEÏP MOÂN VÒ PHÌ ÑAÏIHEÏP MOÂN VÒ PHÌ ÑAÏIHYPERTROPHIC PYLORIC STENOSISHYPERTROPHIC PYLORIC STENOSIS
![Page 76: Xq nhi hinh anh ong tieu hoa](https://reader035.vdocuments.pub/reader035/viewer/2022070601/58839e251a28ab2b568b6f29/html5/thumbnails/76.jpg)
7676May 2, 2004May 2, 2004
HEÏP MOÂN VÒ PHÌ ÑAÏIHEÏP MOÂN VÒ PHÌ ÑAÏIHYPERTROPHIC PYLORIC STENOSISHYPERTROPHIC PYLORIC STENOSIS
![Page 77: Xq nhi hinh anh ong tieu hoa](https://reader035.vdocuments.pub/reader035/viewer/2022070601/58839e251a28ab2b568b6f29/html5/thumbnails/77.jpg)
7777May 2, 2004May 2, 2004
LOÀNG RUOÄTLOÀNG RUOÄTINTUSSUSCEPTIONINTUSSUSCEPTION
Söï loàng cuûa moät ñoaïn ruoät gaàn vaøo Söï loàng cuûa moät ñoaïn ruoät gaàn vaøo trong loøng moät ñoaïn ruoät xa.trong loøng moät ñoaïn ruoät xa.80% xaûy ra ôû treû töø 6 thaùng ñeán 2 80% xaûy ra ôû treû töø 6 thaùng ñeán 2 tuoåi.tuoåi.Nam/Nöõ=3/2.Nam/Nöõ=3/2.Nguyeân nhaân thöôøng ñöôïc quy cho söï Nguyeân nhaân thöôøng ñöôïc quy cho söï phì ñaïi moâ lympho ôû hoài traøng cuoái phì ñaïi moâ lympho ôû hoài traøng cuoái maø coù theå lieân quan ñeán tình traïng maø coù theå lieân quan ñeán tình traïng nhieãm sieâu vi tröôùc ñoù töø 1-2 tuaàn nhieãm sieâu vi tröôùc ñoù töø 1-2 tuaàn (ñaëc bieät laø Adenovirus).(ñaëc bieät laø Adenovirus).
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7878May 2, 2004May 2, 2004
LOÀNG RUOÄTLOÀNG RUOÄTINTUSSUSCEPTIONINTUSSUSCEPTION
90% laø loàng kieåu hoài-manh-ñaïi 90% laø loàng kieåu hoài-manh-ñaïi traøng.traøng.Laâm saøng coù theå sôø thaáy buùi loàng Laâm saøng coù theå sôø thaáy buùi loàng ôû vuøng haï söôøn (P) hoaëc thöôïng vò.ôû vuøng haï söôøn (P) hoaëc thöôïng vò.X quang quy öôùc:X quang quy öôùc: Coù hình aûnh taéc ruoät non.Coù hình aûnh taéc ruoät non. Coù 1 khoái maät ñoä moâ,bao quanh Coù 1 khoái maät ñoä moâ,bao quanh
bôûi 1 lieàm khí, thöôøng thaáy ôû haï bôûi 1 lieàm khí, thöôøng thaáy ôû haï söôøn P (söôøn P (Crescent signCrescent sign).).
![Page 79: Xq nhi hinh anh ong tieu hoa](https://reader035.vdocuments.pub/reader035/viewer/2022070601/58839e251a28ab2b568b6f29/html5/thumbnails/79.jpg)
7979May 2, 2004May 2, 2004
LOÀNG RUOÄTLOÀNG RUOÄTINTUSSUSCEPTIONINTUSSUSCEPTION
Chuïp ÑT coù thuït chaát caûn quang Chuïp ÑT coù thuït chaát caûn quang laø caàn thieát cho chaån ñoaùn.laø caàn thieát cho chaån ñoaùn.Sieâu aâm vaø CT cuõng ñoùng 1 vai Sieâu aâm vaø CT cuõng ñoùng 1 vai troø nhaát ñònh trong chaån ñoaùn:troø nhaát ñònh trong chaån ñoaùn: Caét doïc cho nhöõng lôùp thaønh Caét doïc cho nhöõng lôùp thaønh
ruoät xen keõ.ruoät xen keõ. Caét ngang cho hình nhöõng voøng Caét ngang cho hình nhöõng voøng
ñoàng taâm (ñoàng taâm (Target signTarget sign).).
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8080May 2, 2004May 2, 2004
LOÀNG RUOÄTLOÀNG RUOÄTINTUSSUSCEPTIONINTUSSUSCEPTION
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8181May 2, 2004May 2, 2004
LOÀNG RUOÄTLOÀNG RUOÄTINTUSSUSCEPTIONINTUSSUSCEPTION
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8282May 2, 2004May 2, 2004
![Page 83: Xq nhi hinh anh ong tieu hoa](https://reader035.vdocuments.pub/reader035/viewer/2022070601/58839e251a28ab2b568b6f29/html5/thumbnails/83.jpg)
8383May 2, 2004May 2, 2004
LOÀNG RUOÄTLOÀNG RUOÄTINTUSSUSCEPTIONINTUSSUSCEPTION
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8484May 2, 2004May 2, 2004
LOÀNG RUOÄTLOÀNG RUOÄTINTUSSUSCEPTIONINTUSSUSCEPTION
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8585May 2, 2004May 2, 2004
LOÀNG RUOÄTLOÀNG RUOÄTINTUSSUSCEPTIONINTUSSUSCEPTION
![Page 86: Xq nhi hinh anh ong tieu hoa](https://reader035.vdocuments.pub/reader035/viewer/2022070601/58839e251a28ab2b568b6f29/html5/thumbnails/86.jpg)
8686May 2, 2004May 2, 2004
LOÀNG RUOÄTLOÀNG RUOÄTINTUSSUSCEPTIONINTUSSUSCEPTION
![Page 87: Xq nhi hinh anh ong tieu hoa](https://reader035.vdocuments.pub/reader035/viewer/2022070601/58839e251a28ab2b568b6f29/html5/thumbnails/87.jpg)
8787May 2, 2004May 2, 2004
LOÀNG RUOÄTLOÀNG RUOÄTINTUSSUSCEPTIONINTUSSUSCEPTION
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8888May 2, 2004May 2, 2004
LOÀNG RUOÄTLOÀNG RUOÄTINTUSSUSCEPTIONINTUSSUSCEPTION
![Page 89: Xq nhi hinh anh ong tieu hoa](https://reader035.vdocuments.pub/reader035/viewer/2022070601/58839e251a28ab2b568b6f29/html5/thumbnails/89.jpg)
8989May 2, 2004May 2, 2004
LOÀNG RUOÄTLOÀNG RUOÄTINTUSSUSCEPTIONINTUSSUSCEPTION
![Page 90: Xq nhi hinh anh ong tieu hoa](https://reader035.vdocuments.pub/reader035/viewer/2022070601/58839e251a28ab2b568b6f29/html5/thumbnails/90.jpg)
9090May 2, 2004May 2, 2004
LOÀNG RUOÄTLOÀNG RUOÄTINTUSSUSCEPTIONINTUSSUSCEPTION
![Page 91: Xq nhi hinh anh ong tieu hoa](https://reader035.vdocuments.pub/reader035/viewer/2022070601/58839e251a28ab2b568b6f29/html5/thumbnails/91.jpg)
9191May 2, 2004May 2, 2004
LOÀNG RUOÄTLOÀNG RUOÄTINTUSSUSCEPTIONINTUSSUSCEPTION
![Page 92: Xq nhi hinh anh ong tieu hoa](https://reader035.vdocuments.pub/reader035/viewer/2022070601/58839e251a28ab2b568b6f29/html5/thumbnails/92.jpg)
9292May 2, 2004May 2, 2004
LOÀNG RUOÄTLOÀNG RUOÄTINTUSSUSCEPTIONINTUSSUSCEPTION
![Page 93: Xq nhi hinh anh ong tieu hoa](https://reader035.vdocuments.pub/reader035/viewer/2022070601/58839e251a28ab2b568b6f29/html5/thumbnails/93.jpg)
9393May 2, 2004May 2, 2004
VIEÂM RUOÄT NON-ÑAÏI TRAØNG HOAÏI VIEÂM RUOÄT NON-ÑAÏI TRAØNG HOAÏI TÖÛTÖÛ
NECROTIZING ENTEROCOLITISNECROTIZING ENTEROCOLITIS85% xaûy ra ôû treû sanh non < 37 tuaàn 85% xaûy ra ôû treû sanh non < 37 tuaàn tuoåi,caân naëng < 2500g.tuoåi,caân naëng < 2500g.Beänh thöôøng khôûi phaùt 3-4 ngaøy sau Beänh thöôøng khôûi phaùt 3-4 ngaøy sau sanh vôùi trieäu chöùng tieâu chaûy ra sanh vôùi trieäu chöùng tieâu chaûy ra maùu,caêng tröôùng buïng vaø noân oùi.maùu,caêng tröôùng buïng vaø noân oùi.Beänh sinh:caùc quai ruoät thieáu maùu Beänh sinh:caùc quai ruoät thieáu maùu nuoâi do giaûm töôùi maùu thaønh ruoät nuoâi do giaûm töôùi maùu thaønh ruoät Phaù vôõ haøng raøo nieâm maïc Phaù vôõ haøng raøo nieâm maïc Vi Vi khuaån vaø khí ñi vaøo thaønh ruoät khuaån vaø khí ñi vaøo thaønh ruoät Khí ñi vaøo TM cöûa.Khí ñi vaøo TM cöûa.
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9494May 2, 2004May 2, 2004
VIEÂM RUOÄT NON-ÑAÏI TRAØNG HOAÏI VIEÂM RUOÄT NON-ÑAÏI TRAØNG HOAÏI TÖÛTÖÛ
NECROTIZING ENTEROCOLITISNECROTIZING ENTEROCOLITIS
Vò trí thöôøng bò toån thöông laø hoài traøng Vò trí thöôøng bò toån thöông laø hoài traøng cuoái hoaëc ÑT leân,duø raèng toaøn boä cuoái hoaëc ÑT leân,duø raèng toaøn boä caùc quai ruoät coù theå bò toån thöông.caùc quai ruoät coù theå bò toån thöông.Thuûng ruoät thöôøng xaûy ra trong voøng Thuûng ruoät thöôøng xaûy ra trong voøng 36 giôø ñaàu,phaàn lôùn ôû vuøng hoài-manh 36 giôø ñaàu,phaàn lôùn ôû vuøng hoài-manh traøng.traøng.
![Page 95: Xq nhi hinh anh ong tieu hoa](https://reader035.vdocuments.pub/reader035/viewer/2022070601/58839e251a28ab2b568b6f29/html5/thumbnails/95.jpg)
9595May 2, 2004May 2, 2004
VIEÂM RUOÄT NON-ÑAÏI TRAØNG HOAÏI VIEÂM RUOÄT NON-ÑAÏI TRAØNG HOAÏI TÖÛTÖÛ
NECROTIZING ENTEROCOLITISNECROTIZING ENTEROCOLITIS
X quang:X quang: Hình aûnh caùc quai ruoät tröôùng Hình aûnh caùc quai ruoät tröôùng
hôi,phuø neà caùc xeáp neáp.hôi,phuø neà caùc xeáp neáp. Coù theå coù khí trong thaønh ruoät Coù theå coù khí trong thaønh ruoät
((pneumatosispneumatosis) döôùi daïng nhöõng ) döôùi daïng nhöõng ñöôøng thaáu quang hoaëc nhöõng ñöôøng thaáu quang hoaëc nhöõng boùng khí.boùng khí.
Khí coù theå theo TMMTTT ñeå ñoå veà Khí coù theå theo TMMTTT ñeå ñoå veà TM cöûa (TM cöûa (portal venous airportal venous air).).
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9696May 2, 2004May 2, 2004
VIEÂM RUOÄT NON-ÑAÏI TRAØNG HOAÏI VIEÂM RUOÄT NON-ÑAÏI TRAØNG HOAÏI TÖÛTÖÛ
NECROTIZING ENTEROCOLITISNECROTIZING ENTEROCOLITIS
Neáu thuûng ruoät xaûy ra:Neáu thuûng ruoät xaûy ra: Lieàm hôi döôùi hoaønhLieàm hôi döôùi hoaønh (chuïp buïng (chuïp buïng ñöùng).ñöùng).Rigler’s sign:Rigler’s sign: Thaáy roõ 2 beân thaønh Thaáy roõ 2 beân thaønh ruoät do coù khí bao quanh.ruoät do coù khí bao quanh.Falciform ligament sign:Falciform ligament sign: Thaáy roõ daây Thaáy roõ daây chaèng lieàm do coù khí vieàn quanh hai chaèng lieàm do coù khí vieàn quanh hai beân(chuïp buïng naèm).beân(chuïp buïng naèm).
![Page 97: Xq nhi hinh anh ong tieu hoa](https://reader035.vdocuments.pub/reader035/viewer/2022070601/58839e251a28ab2b568b6f29/html5/thumbnails/97.jpg)
9797May 2, 2004May 2, 2004
VIEÂM RUOÄT NON-ÑAÏI TRAØNG HOAÏI VIEÂM RUOÄT NON-ÑAÏI TRAØNG HOAÏI TÖÛTÖÛ
NECROTIZING ENTEROCOLITISNECROTIZING ENTEROCOLITISFootball sign:Football sign:
-Khi naèm ngöûa,khí -Khi naèm ngöûa,khí töï do trong oå buïng töï do trong oå buïng doàn leân phaàn doàn leân phaàn cao,coøn ôû phaàn cao,coøn ôû phaàn thaáp laø dòch töï do thaáp laø dòch töï do trong oå buïng vieàn trong oå buïng vieàn quanh thaønh buïng quanh thaønh buïng taïo thaønh hình quaû taïo thaønh hình quaû boùng baàu duïc vôùi boùng baàu duïc vôùi ñöôøng khaâu cuûa ñöôøng khaâu cuûa quaû boùng chính laø quaû boùng chính laø daây chaèng lieàm. daây chaèng lieàm.
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9898May 2, 2004May 2, 2004
VIEÂM RUOÄT NON-ÑAÏI TRAØNG HOAÏI VIEÂM RUOÄT NON-ÑAÏI TRAØNG HOAÏI TÖÛTÖÛ
NECROTIZING ENTEROCOLITISNECROTIZING ENTEROCOLITIS
LIEÀM HÔI DÖÔÙI HOAØNH
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9999May 2, 2004May 2, 2004
VIEÂM RUOÄT NON-ÑAÏI TRAØNG HOAÏI VIEÂM RUOÄT NON-ÑAÏI TRAØNG HOAÏI TÖÛTÖÛ
NECROTIZING ENTEROCOLITISNECROTIZING ENTEROCOLITIS
LIEÀM HÔI /TÖ THEÁ NAÈM NGHIEÂNG (T)
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100100May 2, 2004May 2, 2004
VIEÂM RUOÄT NON-ÑAÏI TRAØNG HOAÏI VIEÂM RUOÄT NON-ÑAÏI TRAØNG HOAÏI TÖÛTÖÛ
NECROTIZING ENTEROCOLITISNECROTIZING ENTEROCOLITIS
-THAÁY ROÕ DAÂY CHAÈNG LIEÀM (muõi teân ñen).
-RIGLER’S SIGN (caùc muõi teân vaøng).
![Page 101: Xq nhi hinh anh ong tieu hoa](https://reader035.vdocuments.pub/reader035/viewer/2022070601/58839e251a28ab2b568b6f29/html5/thumbnails/101.jpg)
101101May 2, 2004May 2, 2004
VIEÂM RUOÄT NON-ÑAÏI TRAØNG HOAÏI VIEÂM RUOÄT NON-ÑAÏI TRAØNG HOAÏI TÖÛTÖÛ
NECROTIZING ENTEROCOLITISNECROTIZING ENTEROCOLITIS
-KHÍ TRONG THAØNH RUOÄT-KHÍ TRONG TÓNH MAÏCH CÖÛA-RIGLER’S SIGN
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102102May 2, 2004May 2, 2004
VIEÂM RUOÄT NON-ÑAÏI TRAØNG HOAÏI VIEÂM RUOÄT NON-ÑAÏI TRAØNG HOAÏI TÖÛTÖÛ
NECROTIZING ENTEROCOLITISNECROTIZING ENTEROCOLITIS
FOOTBALL SIGN:Caùc muõi teân thaúng chæ daây chaèng lieàm.
Caùc muõi teân cong chæ dòch vieàn quanh oå buïng.
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103103May 2, 2004May 2, 2004
VIEÂM RUOÄT NON-ÑAÏI TRAØNG HOAÏI VIEÂM RUOÄT NON-ÑAÏI TRAØNG HOAÏI TÖÛTÖÛ
NECROTIZING ENTEROCOLITISNECROTIZING ENTEROCOLITIS
FOOTBALL SIGN
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104104May 2, 2004May 2, 2004
VIEÂM RUOÄT NON-ÑAÏI TRAØNG HOAÏI VIEÂM RUOÄT NON-ÑAÏI TRAØNG HOAÏI TÖÛTÖÛ
NECROTIZING ENTEROCOLITISNECROTIZING ENTEROCOLITIS
FOOTBALL SIGN
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105105May 2, 2004May 2, 2004
VIEÂM RUOÄT NON-ÑAÏI TRAØNG HOAÏI VIEÂM RUOÄT NON-ÑAÏI TRAØNG HOAÏI TÖÛTÖÛ
NECROTIZING ENTEROCOLITISNECROTIZING ENTEROCOLITIS
KHÍ TRONG THAØNH RUOÄT
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106106May 2, 2004May 2, 2004
VIEÂM RUOÄT NON-ÑAÏI TRAØNG HOAÏI VIEÂM RUOÄT NON-ÑAÏI TRAØNG HOAÏI TÖÛTÖÛ
NECROTIZING ENTEROCOLITISNECROTIZING ENTEROCOLITIS
KHÍ TRONG THAØNH RUOÄT
KHÍ TRONG TÓNH MAÏCH CÖÛA
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107107May 2, 2004May 2, 2004
VIEÂM RUOÄT NON-ÑAÏI TRAØNG HOAÏI VIEÂM RUOÄT NON-ÑAÏI TRAØNG HOAÏI TÖÛTÖÛ
NECROTIZING ENTEROCOLITISNECROTIZING ENTEROCOLITIS
KHÍ TRONG TÓNH MAÏCH CÖÛA
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108108May 2, 2004May 2, 2004
BEÄNH HIRSCHSPRUNGBEÄNH HIRSCHSPRUNG HIRSCHSPRUNG’S DISEASEHIRSCHSPRUNG’S DISEASE
Coøn goïi laø beänh to ñaïi traøng baåm Coøn goïi laø beänh to ñaïi traøng baåm sinh.sinh.Taàn suaát 1/4500. Taàn suaát 1/4500. Nam/nöõ=4/1.Nam/nöõ=4/1.Do thieáu vaéng ñaùm roái thaàn kinh ôû Do thieáu vaéng ñaùm roái thaàn kinh ôû thaønh ruoät. thaønh ruoät. 70% beänh xaûy ra ôû vuøng cuoái cuûa 70% beänh xaûy ra ôû vuøng cuoái cuûa ÑT sigma vaø tröïc traøng.ÑT sigma vaø tröïc traøng.
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109109May 2, 2004May 2, 2004
BEÄNH HIRSCHSPRUNGBEÄNH HIRSCHSPRUNG HIRSCHSPRUNG’S DISEASEHIRSCHSPRUNG’S DISEASE
90% beänh ñöôïc phaùt hieän laø do treû 90% beänh ñöôïc phaùt hieän laø do treû khoâng ñi caàu phaân xu trong voøng 24 khoâng ñi caàu phaân xu trong voøng 24 giôø sau sanh.giôø sau sanh.Chaån ñoaùn nhôø chuïp ÑT coù caûn Chaån ñoaùn nhôø chuïp ÑT coù caûn quang.quang. Bình thöôøng khaåu kính Tröïc traøng > Bình thöôøng khaåu kính Tröïc traøng >
ÑT sigma.Khi ñieàu naøy bò ñaûo ngöôïc ÑT sigma.Khi ñieàu naøy bò ñaûo ngöôïc phaûi nghó ñeán beänh Hirschsprung.phaûi nghó ñeán beänh Hirschsprung.
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110110May 2, 2004May 2, 2004
BEÄNH HIRSCHSPRUNGBEÄNH HIRSCHSPRUNG HIRSCHSPRUNG’S DISEASEHIRSCHSPRUNG’S DISEASE
Phaàn ruoät bò toån thöông bò co Phaàn ruoät bò toån thöông bò co thaét,traùm thuoác khoâng ñeàu.thaét,traùm thuoác khoâng ñeàu.
Vuøng chuyeån tieáp ñöôïc xaùc Vuøng chuyeån tieáp ñöôïc xaùc ñònh raát roõ,phaân caùch giöõa ñònh raát roõ,phaân caùch giöõa vuøng laønh vaø vuøng beänh. vuøng laønh vaø vuøng beänh.
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111111May 2, 2004May 2, 2004
BEÄNH HIRSCHSPRUNGBEÄNH HIRSCHSPRUNG HIRSCHSPRUNG’S DISEASEHIRSCHSPRUNG’S DISEASE
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112112May 2, 2004May 2, 2004
BEÄNH HIRSCHSPRUNGBEÄNH HIRSCHSPRUNG HIRSCHSPRUNG’S DISEASEHIRSCHSPRUNG’S DISEASE
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113113May 2, 2004May 2, 2004
BEÄNH HIRSCHSPRUNGBEÄNH HIRSCHSPRUNG HIRSCHSPRUNG’S DISEASEHIRSCHSPRUNG’S DISEASE
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114114May 2, 2004May 2, 2004
TAÉC RUOÄT PHAÂN XUTAÉC RUOÄT PHAÂN XU MECONIUM ILEUSMECONIUM ILEUS
Do vaéng söï baøi tieát bình thöôøng Do vaéng söï baøi tieát bình thöôøng cuûa tuïy vaø oáng tieâu hoùa trong cuûa tuïy vaø oáng tieâu hoùa trong thai kyø,phaân xu trôû neân thai kyø,phaân xu trôû neân ñaëc,nhaày,maø coù theå gaây taéc ñaëc,nhaày,maø coù theå gaây taéc ruoät ngay sau khi sanh.ruoät ngay sau khi sanh.Taéc xaûy ra ôû hoài traøng cuoái,nôi Taéc xaûy ra ôû hoài traøng cuoái,nôi phaân xu taïo thaønh nhöõng vieân phaân xu taïo thaønh nhöõng vieân cöùng.cöùng.
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115115May 2, 2004May 2, 2004
TAÉC RUOÄT PHAÂN XUTAÉC RUOÄT PHAÂN XU MECONIUM ILEUSMECONIUM ILEUS
Caùc quai ruoät non tröôùng Caùc quai ruoät non tröôùng hôi,khoâng hoaëc ít möïc thuûy-khí.hôi,khoâng hoaëc ít möïc thuûy-khí.Chuïp ñaïi traøng caûn quang seõ Chuïp ñaïi traøng caûn quang seõ thaáy khaåu kính ñaïi traøng raát thaáy khaåu kính ñaïi traøng raát nhoû vì noù ñaõõ khoâng ñöôïc söû nhoû vì noù ñaõõ khoâng ñöôïc söû duïng trong suoát thai kyø (duïng trong suoát thai kyø (micro-micro-coloncolon).).
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116116May 2, 2004May 2, 2004
TAÉC RUOÄT PHAÂN XUTAÉC RUOÄT PHAÂN XU MECONIUM ILEUSMECONIUM ILEUS
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117117May 2, 2004May 2, 2004
TAÉC RUOÄT PHAÂN XUTAÉC RUOÄT PHAÂN XU MECONIUM ILEUSMECONIUM ILEUS
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118118May 2, 2004May 2, 2004
TAÉC RUOÄT PHAÂN XUTAÉC RUOÄT PHAÂN XU MECONIUM ILEUSMECONIUM ILEUS
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119119May 2, 2004May 2, 2004 CAÛM ÔN SÖÏ CHUÙ YÙ THEO DOÕI CUÛA QUYÙ CAÛM ÔN SÖÏ CHUÙ YÙ THEO DOÕI CUÛA QUYÙ
BAÙC SÓBAÙC SÓ