Infant Vomiting Review: Pylorus, Obstruction and Electrolytes | Part 2 | 兒科腹症 | OET Music

Dr Allison Lu · Pip & Barnaby · Medical English

本頁提供本曲完整英文歌詞與影片搭配的繁中醫學提示。歌詞保留原演唱文字;遇到過度簡化或舊門檻,請搭配下方提示與原始資料閱讀。這是概念學習材料,不替代個別醫療評估。

Lyrics · 完整歌詞

The central distinctions can be recalled as follows.

All bilious vomiting in a newborn means obstruction beyond the ampulla of Vater,
while pyloric stenosis vomits milk without bile.
Is the biochemistry hypochloraemic, hypokalaemic metabolic alkalosis?
Then correct chloride and potassium with saline before pyloromyotomy,
because the operation is never an emergency.
On the abdominal wall,
a midline membrane with anomalies in half the cases is omphalocele,
and exposed bowel beside the cord is gastroschisis.
Luminal telescoping in intussusception is reduced by enema in most children,
necrotising enterocolitis is operated on only for pneumoperitoneum,
and Kasai must happen within 60 days.


All bilious vomiting in a newborn means obstruction beyond the ampulla of Vater,
while pyloric stenosis vomits milk without bile.
Is the biochemistry hypochloraemic, hypokalaemic metabolic alkalosis?
Then correct chloride and potassium with saline before pyloromyotomy,
because the operation is never an emergency.
On the abdominal wall,
a midline membrane with anomalies in half the cases is omphalocele,
and exposed bowel beside the cord is gastroschisis.
Luminal telescoping in intussusception is reduced by enema in most children,
necrotising enterocolitis is operated on only for pneumoperitoneum,
and Kasai must happen within 60 days.

Medical Notes · 醫學學習提示

  1. 嬰兒嘔吐與腹部急症:先辨識危急徵象
  2. 綠色膽汁性嘔吐須急查阻塞,但不能只靠顏色精確定位
  3. 幽門狹窄通常非膽汁性,出現綠色嘔吐須另查原因
  4. 典型低氯低鉀鹼中毒,早期可能未完整出現
  5. 先補液矯正酸鹼;確認尿量足夠後才補鉀
  6. 幽門狹窄先矯正再開刀;嚴重脫水仍須急治
  7. 腹壁缺損看位置與覆膜;圖為一般嬰兒評估
  8. 臍膨出在中線有囊膜,常伴其他異常,比例不固定
  9. 腹裂常在臍右側,脫出腸道無覆膜
  10. 穩定且無禁忌才可灌腸復位;休克、穿孔或腹膜炎不宜
  11. 更正:NEC 無游離氣體,也可能因惡化需要手術
  12. Kasai 越早評估越好;超過60天也不等於不能做

References