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中华小儿外科杂志

中华小儿外科杂志

北大核心

CSCD

CSTPCD

Chinese Journal of Pediatric Surgery
1980年创刊，中华医学会主办。本刊是中国小儿外科专业的高水平学术期刊。充分报道中国小儿外科学科领域基础及临床研究的先进理论、新兴技术和前沿成果，使理论和实践相结合，以促进中国小儿外科学科的发展。本刊读者主要为从事小儿外科临床、教学、科研的工作者及外科、儿科、产科有关人员。本刊辟有述评、临床研究、实验研究、综述、会议纪要、研究报告、技术革新、病例报告等栏目。
  • 发文量：5723
  • 被引量：1927
  • H指数：3
  • 开始收录时间：1986(1)
  • CNKI综合因子：0.642
  • 维普期刊影响因子： 0.767
  • 万方期刊影响因子：1.0
  • 创刊时间：1980
  • 国内刊号/CN：42-1158/R
    国际刊号/ISSN：0253-3006
  • 发行周期：月刊
    邮发代号：38-19
  • 主管单位：中国科学技术协会
    主办单位：中华医学会
中华小儿外科杂志-联系信息
  • 主编：-
  • 电话：027-82846835
  • 邮箱：zhxewkzz@cmaph.org
  • 地址：武汉市汉口胜利街155号
  • 邮编：430014
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中华小儿外科杂志 >2021年第23期

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  • 摘要：@@ 原发性甲状旁腺机能亢进症(PHPT)是小儿罕见病.国内仅有少数个案报道.自1930年Pemberton等(1)报道第1例以来,Nolan等于1960年首次收集并在文献中报告23例小儿PHPT.本病可发生于任何年龄,新生儿和婴幼儿多为甲状旁腺组织增生,而青少年则以甲状旁腺腺瘤居多.
  • 摘要：@@ 一穴肛畸形为中位或高位复杂直肠肛门畸形.一穴肛女婴生后会阴部无正常肛门开口,只见类似小阴唇闽,阴蒂根部有一圆孔,尿道、阴道、直肠均开口于此孔内.男婴的无肛直肠膀胱痿、尿道上裂膀胱外翻等畸形,一般不作为一穴肛论述.
  • 摘要：@@ 病史摘要:患儿,男,40天.因排尿困难1个月,于1987年7月20日入院.患儿生后10天发现排尿困难,尿流呈点滴状.经导尿的尿量为150ml,留置导尿管36小时后拨出,排尿困难加重,尿道口见少许脓样分泌物.又在其他县医院行抗生素治疗,症状不见好转来我院就医.入院前4、5天出现恶心、呕吐,吐物为粘液性胃内容.无发冷、发烧或肉眼血尿,大便不成形.
  • 摘要：From 1980 to 1986,9 cases with congenital high lesion malformations of anus and rectum,ranging in age from 5-11 years underwent an abdominoperineal,pull-through operation during infancy.All of them had the complication of incontinence of anus postoperatively.rnReplacement of external sphincter muscle by gracilis muscle and by glutaeus maxium muscle were performed on 7 of the 9 cases and the rest 2 respectively.After operation 5 cgses had defecating sense and occasional soiling or staining.It is emphasized that the training of defecating function is very important.Follow-up result of the patients has showed that defecating function were progressed in all cases.%报告9例5～11岁完全性肛门失禁病例,均系先天性高位直肠肛门畸形,婴儿时期施行腹会阴肛门成形术后发生的并发症.7例施行股薄肌移位术,2例施行臀大肌束移位术.术后5例基本能控制排便.强调继续排便训练.
  • 摘要：Differnet kinds of stimulants,such as injecting penicillin and repeated stimulati on with needle on the muscle of three extremities were used in 20 young rabbits during a period of 20 days.The results showed that the pathological changes and physical signs of muscular contracture in rabbits were almost the same as those changes in children.Therefore animal model of muscular coatracture was obtained successfully.rnAmong those stimulants,penicillin diluted by 2% Benzyl alcohol may be the most dangerous causative factor of this disease.It is possible to reduce the incidence of muscular contracture in future,if we do not use peniciltin diluted by 2% Benzyl alcohol.%作者采用不同刺激因子,反复作用于动物不同肢体的肌肉部分,得到了与儿童注射性臀肌挛缩症临床表现、病理改变相一致的结果,成功地建立了此症的动物模型,提供了注射因素作为肌挛缩症病因的实验依据.同时发现以2%苯甲醇作青霉素溶媒是最危险的致病因子,提示今后不再使用此溶媒,可望降低本病发生率.
  • 摘要：作者总结了B超引导下经皮肾穿刺造影术的临床应用,年龄在2个月至10岁的小儿18例.除1例的一侧在造影术中患儿躁动,针头移位于肾包膜下外,全部获得满意诊断与治疗.本文详细介绍操作技术,指出适应证:(1)上尿路梗阻;(2)间歇性动力性梗阻;(3)肾盂输尿管尿流动力学测定.介绍核素在穿刺术中的应用.提出防止尿外渗与肾内高压的措施.本技术是小儿泌尿系统的一种准确性高、简单安全的补充检查法.
  • 摘要：@@ 例1:女,3岁.因上腹部包块,压之疼痛、哭闹.体检:上腹正中可扪及7×10cm肿块,质中等,表面光滑,稍活动,压痛阳性,肝肋下3cm.大便隐血试验弱阳性.胃肠钡餐检查:胃小弯侧有孤形压迹,胃体向前方略有推移.超声波检查:上腹偏左侧距皮肤约1cm处有6～7cm平段,提示上腹部包块为囊性.
  • 摘要：@@ 例1:女,2岁.1984年9月因贲门痉挛而行贲门成形加胃底包绕术.术后3天患儿发烧拍胸片"左包裹性液气胸."当即行胸腔闭式引流术并口服美兰,证实为食管吻合口瘘.急诊开胸探查,见吻合口瘘约0.8cm,粘膜外翻,行单纯瘘口修补术,清洗胸腔后.
  • 摘要：@@ 患儿:支×,女,12天.因气急抽搐2天,血便3次,伴呕吐一次,于1987年3月7日下午入院.患儿系第一胎第一产,足月臀位产.rn体检:新生儿面容,苍白,P120次/分,R40次/分,不发热,体重3350g,心肺(一),腹部胀气,无肠型,无肿块触及,血色素18.4g,自细胞1300,中性76%、淋巴24%,出血时间1/2分,凝血时间2分,血小板7万.
  • 摘要：@@ 患儿:女,第一胎第一产,足月顺产.出生后即见于脐带基底部有一肿物.rn体检:体重3.5kg,心肺(一),腹正中脐带基底部可见一囊性肿物,约10×5×5 cm,被覆透明囊膜光滑湿润,于生后两个半小时见肠管逐渐充气扩张,腹壁缺损直径约3.5cm.
  • 11.消息
  • 摘要：The artical reports the experience of anesthesia for 40 cases with congenital esophageal atresia.Most of the infants had a low birth weight and had complication of pneumonia or other malformations,so the anesthesia was very difficult.rnThe patients were intubated after acetylpromazine and promethazine injected intramuseulary.Anesthesia was maintained by ketamine,diazepam or dolantine.the respiration was assisted by the modifications of the"T" piece system.rnAn appropriate anesthesia was directly related to the postoperative survival rate.No death and no su ch side effects as laryngospasm or asphyxia resulted from ketamine or diazepare.The function of cardiovascular system was stzble.The infants were conscious and could be extu bated soon after operation.%本文报道40例先天性食管闭锁手术的麻醉,其中早产儿占50%.全部患儿合并肺炎,50%以上患儿还合并有多种畸形.采用清醒插管,氯胺酮,安定麻醉、应用根据T管原理改良的小儿呼吸囊管理呼吸,取得了良好效果,麻醉、手术过程平稳,循环稳定,术终苏醒迅速.
  • 摘要：本文报告经病理证实的儿童膀胱嗜铬细胞瘤2例.典型症状为包括高血压、血尿、排尿时发作在内的症状群.膀胱镜检的特点为诊断提供重要依据.病理学上,只有在淋巴结或无嗜铬组织的器官有转移才考虑为恶性.功能性肿瘤术前应使用肾上腺素能阻滞剂准备.经腹途径的膀胱部份切除是儿童病例的合宜选择.术后应长期随访观察.
  • 摘要：@@ 患儿:男,8岁.于1987年3月10日住院.主诉生后双侧阴囊内空虚.体检;双侧阴囊发育不良,阴囊内及双侧腹股沟区均未触及睾丸.腹部B超(一).故诊断为双侧隐睾腹腔型?术前行HCG1 000u隔日一次肌注,总剂量为10 000u.用药后除阴茎外形转变近成人型外,病情无变化.
  • 摘要：本文对62例小儿腹部手术前、后血液内15种、血清内5种微量元素进行测定,结果仅肠造瘘9例患儿关瘘术后3天全血铜值低于手术后7天值(P<0.05),其它各元素术前与术后3、7天相比均无差异(P>0.05).%Fifteen trace-elements in blood and five trace-elements in serum were determined in 62 patients,before and after an abdominal operation,which includes radical operation of Hirschsprung's disease,surgery of neonatal acute abdomen,and closure of enterostomy.There is no statistically significant difference,in all findings,between pre-and post-operative specimens of serum or blood,except the blood Cu becoming lower on tie third day than on the 7th day postoperatively.The cause of such a lowering is explained in the light of the function of Cu,Zn,Fe,Mn and Sr in human body.The absence of change in all trace-elements in this study is probably due to the effect of our ordinary routine pre-and post-operative treatment,such as the correction of anemia and electrolyte imbalace and so on.Therefore it is unnecessary to give any additional trace-elements within the first week after operation.
  • 摘要：作者报告了26例血管瘤伴发血小板减少综合征,其中88%为6个月以内的婴儿.用激素以及激素与手术、放疗、肝素联合治疗,随访23例,15例痊愈,8例好转.%This paper reports 26 cases of hemangioma with thrombocytopenia from 1970 to 1986.When treated,88% of them were younger than first 6 months of life.The treatment of choice could be:steroids,surgical excision,or a combination of steroids,radiation and heparin.Fresh blood transfusion is helpful.As soon as the tumour stops growing in size,the swelling will disappear and radiotherapy should be then stopped.The total dose ranges from 600 to 1500 rad.Prednisone is administered 2 to 3 mg/kg/day for 1-2 months.As a result,the tumour begins to reduce in size and the platelet count returns to normal.The lesion will go on regressing.The follow-up shows that of the 23 cases,15 are healed and 8 are recovering.
  • 摘要：作者手术治疗的167例小儿脊柱侧弯中,由神经纤维瘤病所致有10例,占5.98%.诊断依据为皮肤咖啡色素斑、脊柱侧弯等骨的畸形、阳性家族史、病理活检四项中的两项.脊柱侧弯多位于胸椎,弧度可达120°.一旦确诊宜及早手术.%Among the 167 scoliosis cases we have operated on,the incidence of associated neurofibromatosis is 5.9%(10 cases),higher than 1-3 % as reported in the medical literatures.To establish the diagnosis,any two of the four most commonly found criteria would be sufficient,such as multiple cafe-aulait spots,positive family history,histologically proved local biopsy at operation,and one of the characteristic skeletal deformities,such as scoliosis,pseudathrosis of the tibia,or hemihypertrophy of the whole body.In our series,6 boys and 4 girls at the age ranging from 7.5 to 13 years,all the cases showed cafe-au-lait spots on the skin.In 7 of them scoliosis involved thoracic vertebrae with a curve ranging between 49-120°.The author emphasizes that an early diagnosis can be readily made simply by recognizing the cafe-aulait spots on the skin of a child with scoliosis,and that an operation should not be delayed.
  • 摘要：@@ 我院于1984～1985两年间共收治4例婴儿指趾肌纤维母细胞瘤患儿,年龄4～24个月,其中3例为单发,1例为多发(3个足趾).均经手术及病理证实,治疗效果良好.
  • 摘要：@@ 微小阑尾结核少见,我们遇到一例,报告如下.rn患儿:女,10岁,1987年3月3日急诊入院.36小时前阵发性右下腹疼痛伴恶心、呕吐、发热,以往有间歇酸痛史.体检:体温38.2℃,腹平坦,肝脾未触及,未触及包块,右下腹略有肌紧张,麦氏点压痛明显,反跳痛不明显,腰大肌试验阳性,闭孔肌试验阴性.
  • 摘要：作者对7102例孕妇产前作B超检查,73例诊断为胎儿畸形.产后证实有畸形81例,8例漏诊.作者在此基础上,提出了产前B超检查的适应证,产前小儿外科疾病筛选与临床特征以及围产期外科筛选、监护的临床意义.%This is a report of 7101 cases of maternalultrasonic scanning from 1983 to 1987.Antenatal diagnosis of anomalies was made in 73 of them,with 8 escaping from it.15 cases were selected as the operable deformities(Omphalocele 3,Gastroschisis 1,Intestine atresis 1,Bilateral polycystic kidney 1,Vascular tumor on the head and the neck 1,Hydrocele 5,Megacystis 1,Hydronephrosis 2),all of them were treated by surgery,their diagnosiswas further confirmed.The specific featuresof ultrasonography of the fetal digestive and urinary organs are discussed.And this forms a guide to surgical indications for the perinatal infants.As antenatal ultrasonic scanning is important in eugenics and health work for high risk pregnant women,an early perinatal surgical attention in cases of obstructivelesions of digestive or urinary tracts will cer.tainly help improve the result of neonatal surgery.Perinatal ultrasonic screening is indeed essential to the further improvement of neonatal surgery.
  • 摘要：@@ 患儿,女,50天.因生后进食呛咳,呼吸困难,经两个医院诊为"吸入性肺炎"及"新生儿肺炎".经治疗无效,于1986年7月14日以"新生儿肺炎"转入我院.患儿系第一胎,足月.
  • 摘要：In the past 31 years,198 cases of congenital choledochal cyst were admitted to the Beijing Children's Hospital.173 Cases were operated on by different procedures,and 99 of them(67.6%)were followed up for 6 months to 20 years.Cystoduodenostomy and Roux-Y cystojejunostomy lead to poor results as is found in the follow-up(for more than 5 years).The common complications are:stenosis of the anastomosis,ascending cholangitis and biliary stasis in the residual cyst.Then a new procedure is adopted.It involves excision of choledochal cyst plus Roux-Y hepatico-jejunostomy,or short jejunal interposition between common hepatic duct and duodenum with a spur valve and brings about better results judged theoretically as well as by an immediate postoperative assessment,although the follow-ups last only less than five years.The conclusion:since it is a complicated procedure that involves a cyst excision,three anastomoses and a spur valve formation being done at one time,a proper preoperative preparation of the patient is required so as to decrease the morbidity and mortality.%文章总结31年中收治的先天性胆总管囊肿198例,其中手术治疗173例,随访99例,随访率63.6%.根据随访结果,对外引流、囊肿十二指肠吻合、囊肿空肠Roux-Y吻合、囊肿切除Y型吻合、囊肿切除空肠代胆道术以及近期疗效(术后5年以内)、远期疗效(术后5年以上)进行了评价.提出为降低术后合并症,提高治愈率,应争取条件作囊肿切除及内引流术.
  • 摘要：@@ 闸门症候群是在Duhamel手术后,结肠直肠间隔因吻合口挛缩狭窄,延伸的矩形瓣呈闸门样改变而出现便秘、腹胀、腹部粪块、大便频繁或失禁等一系列症状.我院1974年以来所作的82例Duhamel手术病例中,有6例返院处理闸门症候群.
  • 摘要：@@ 自1979-1986年,我院共收治非创伤性纵隔炎7例;男2例,女5例;年龄最小45天,最大11岁,2岁以内者5例.临床表现:弛张热7例,呼吸困难7例,咳嗽6例,胸骨上凹弥漫性肿痛4例,胸骨后疼痛1例,颈静脉怒张2例.
  • 摘要：@@ 患儿,女,6天,生后无排便,伴腹胀、呕吐,于87年2月10日急症入院.rn自生后未排气排便,腹胀逐渐加重并伴有呕吐,吐物为黄绿色,未经任何治疗而来我院.
  • 摘要：@@ 直接了解直肠肓端与耻骨直肠肌环(以下简称肌环)的关系,对提高婴幼儿肛门直肠畸形的治疗效果是极为重要的.现将我科对2例婴幼儿先天性无肛的CT检查报告如下.
  • 摘要：婴幼儿先天性食管狭窄分肌层肥厚型、气管迷入型和蹼型狭窄三型.作者收治的8例先天性食管狭窄患儿肌层肥厚型和蹼型各3例,气管迷入型2例.文章具体讨论各型特点,临床和X线特征以及治疗方法的选择.%Five cases of congenital esophageal stenosis were treated surgically.2 of them were due to tracheobronchial cartilage remnants,2 fibrous or muscular stenosis,and the 5th a membranous web.Esophagogram and esophagoscopy are instrumental helpful in making diagnosis.Operative technique and its indications were discussed in detail.Also described in the article are primary resection and anastomosis or partial excision of the stenotic esophagus plus a plastic repair using an omental transplant.
  • 摘要：本文报告44例原因不明的消化道出血病例,经放射性核素腹部扫描或r照相,结果22例阳性,其中16例经手术探查,证实为美克尔憩室9例,回盲部肉瘤1例,回盲部恶性淋巴瘤1例,食道裂孔疝2例,慢性肠套叠、肠重复畸形、坏死性小肠炎各1例.检查结果表明:放射性核素腹部照相对小儿消化道出血病因诊断是有用的过筛试验方法,对美克尔憩室具有诊断价值.%The clinical use of ~(99m)Tc digestive tract imaging for unexplained gastrointestinal bleeding in 44 cases are reported.22 in 44 cases were positive,i.e.,radioactive concentrated on the bleeding area,and 16 patients underwent surgery;they involve:Meckel's diverticulum in 9,Malignant lymphoma 1,sarcoma 1,necrotizing enterocolitis 1,chronic intussusception 1,bowel duplication 1,and hiatus hernia 2.Gastrointestinal imaging with ~(99m)Tc is proved to be a simple,noninvasive,highly specific and accurate method for the diagnosis of Meckel's diverticulum.It is also a valuable tool for the differential diagnosis of the malignant tumor,inflammatory bowel disease,and bowel developmental anomaly.

    中华小儿外科杂志的期刊信息

    • 创刊时间：1980
    • 地区：CN
    • 语言：中文
    • 热门主题：中华医学会
    • 学科分类： 儿科学;

    中华小儿外科杂志的获奖情况

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    • • 北大核心期刊（2000版）
    • • 北大核心期刊（2004版）
    • • 北大核心期刊（2008版）
    • • 北大核心期刊（2011版）
    • • 北大核心期刊（2017版）
    • • 中国科学引文数据库（2011-2012）
    • • 中国科学引文数据库（2013-2014）
    • • 中国科学引文数据库（2015-2016）
    • • 中国科学引文数据库（2017-2018）
    • • 中国科学引文数据库（2019-2020）
    • • 日本科学技术振兴机构数据库
    • • 中国科技核心期刊

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