留置胃管及口、鼻腔及食管分泌液的观察在先天性食管闭锁诊断中的价值

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 congenital esophageal atresia between the method above with the traditional X-ray diagnosis method.Results There is no statistical difference in the diagnosis method results of esophageal atresia in newborns between nursing observation and X-ray (P=1.000).Both methods have important value in diagnosis of neonatal congenital esophageal atresia.But compared with X-ray,the sensitivity of nursing observation 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.