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| 題 名 | Meconium Peritonitis: A Ten-Year Experience=胎便性腹膜炎:十年經驗 |
|---|---|
| 作 者 | 賴鴻緒; 林本仁; 許文明; 陳維昭; 陳秋江; 洪文宗; | 書刊名 | 中華民國外科醫學會雜誌 |
| 卷 期 | 33:6 民89.11-12 |
| 頁 次 | 頁267-272 |
| 分類號 | 417.509 |
| 關鍵詞 | 胎便性腹膜炎; 產前超音波; Meconium peritonitis; Prenatal diagnosis; Fibroadhesive type; Pseudocystic type; Generalized type; |
| 語 文 | 英文(English) |
| 中文摘要 | 胎便性腹膜炎是罕見的疾病,若無法早期診斷和治療,常會造成新生兒的死亡。本文回顧及分析過去十年內,台大醫院外科所經歷之二十五位胎便性腹膜炎病例。其中三例並未接受開刀:這三例皆是足月兒,在產前和產後都有影像學證據來佐證,確實患有胎便性腹膜炎。另外二十二例經過手術證實:纖維粘黏性胎便性腹膜炎有九例,偽囊腫性胎便性腹膜炎有八例,其餘五例為廣泛性胎便性腹膜炎。術中共發現十四例合併胃腸道阻塞,大多是小腸閉鎖。十五例有腸穿孔,除一例在結腸外,其餘皆在小腸(空腸四例,迴腸十例)。共有兩例死亡:一例因敗血性休克死於術後第二十五天,另一例則因腹膜炎及敗血症於第21天再度接受剖腹清除手術、不幸於第二次手術後第一天,因急性腎衰竭死亡,死亡率為8%。早期的產前超音波診斷和適當的手術介入,是治療胎便性腹膜炎最佳途徑。 |
| 英文摘要 | Meconium peritonitis is rare in neonates. The aim of this study is to review and analyse neonates with meconium peritonitis presenting to National Taiwan University Hospital from April 1990 to March 1999. Twenty-five patients with meconium peritonitis were collected. Twenty-two were proved by surgical and pathological findings. The other three patients who did not receive surgical intervention were diagnosed by radiography and sonography. In the 22 cases proven by surgery, the fibroadhesive type was found in nine cases, the pseudocystic type in eight and the generalized type in five. For the fourteen cases with gastrointestinal obstruction, the most common gastrointestinal anomaly was intestinal atresia (9/14). Intestinal perforations were found in 15 patients: four at the jejunum, ten at the ileum and one at the cecum. The mortality rate was 8% (2/25). Consequently, early prenatal sonographic diagnosis and surgical intervention are important for patients with meconium peritonitis. |
本系統中英文摘要資訊取自各篇刊載內容。