醫學五：80題 ( 包括外科,骨科,泌尿科等科目及其相關臨床實例與醫學倫理 )題庫下載題庫

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49.滿月嬰兒若於餵食後呈現噴射狀嘔吐，須懷疑幽門肥厚性狹窄（hypertrophic pyloric stenosis），下列有關 檢查及治療之敘述，何者最正確？
(A)確定診斷可借助腹部觸診發現右上腹橄欖狀硬塊、腹部超音波或上消化道攝影
(B)平躺腹部X光檢查可發現雙氣泡徵象（double bubble sign）
(C)嬰兒幽門肥厚性狹窄因屬腸胃道阻塞之一，通常屬於外科急症（surgical emergency）
(D)手術治療目前以幽門成形手術（pyloroplasty）為主

答案：登入後觀看
難度： 簡單
最佳解!
Joey Cheng 國三下 (2019/06/18)
(D) pyloroplasty 是用在★★ ...


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2F
justin1999031 高二上 (2023/04/12)
single bubble sign > hypertrophic pyloric stenosis (air filled stomach)
double bubble sign > duodenal atresia (air filled stomach and duodenal )
3F
pauline40742 高一下 (2024/06/04)

Initial Treatment:

Hydration: Ensuring the baby is well-hydrated is crucial. If the baby is dehydrated, fluids are administered before surgery. Correcting Electrolyte Abnormalities: Addressing any imbalances in electrolytes (such as sodium and potassium) is essential.

Definitive Treatment:

Pyloromyotomy: Surgery is the primary treatment for HPS. The procedure, called pyloromyotomy, involves making a longitudinal incision in the thickened outer muscle layer of the pylorus. The inner layers remain intact. This creates a wider channel for food to pass from the stomach to the intestines....
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49.滿月嬰兒若於餵食後呈現噴射狀嘔吐，須懷疑幽門肥厚性狹窄（hypertrop..-阿摩線上測驗