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頁籤選單縮合
題名 | Idiopathic Duodenal Perforation in a Neonate=特發性新生兒十二指腸穿孔 |
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作者 | 林雨利; 彭海祁; 陳厚全; Lin, Yu-li; Peng, Hai-chyi; Chen, Hou-chuan; |
期刊 | 中華民國外科醫學會雜誌 |
出版日期 | 20001100、20001200 |
卷期 | 33:6 民89.11-12 |
頁次 | 頁309-312 |
分類號 | 417.509 |
語文 | eng |
關鍵詞 | 新生兒; 十二指腸穿孔; Duodenal perforation; Neonate; Idiopathic; |
中文摘要 | 十二指腸穿孔於新生兒為一稀少的疾病,其中"特發性"或"自發性"新生兒十二指腸穿孔則更屬罕見。我們所報告的是一個特發性新生兒十二指腸穿孔併血性腹水的病例,一個十天大的男嬰因持續腹脹而至外院求診,經保守治療無效後,再轉至本院求診,經腹部超音波掃瞄而診斷為疑似胎便性腹膜炎。於是病嬰接受緊急剖腹探查手術,術中發現位於十二指腸之第二部分有一穿孔,同時合併有大量血性腹水,經將血性腹水引流後,對十二指腸之穿孔做直接縫合,病嬰術後恢復情形良好,且無任何併發症之發生,由於此類病例相當罕見,所以我們提出此一病例報告,並回顧相關文獻。 |
英文摘要 | Duodenal perforation in neonates is a very rare entity. Gastrointestinal perforation without obvious etiology has been labeled as idiopathic or spontaneous. A neonate of idiopathic duodenal perforation without pneumoperitoneum is presented. A full term male neonate presented with persistent abdominal distension at 3 days of age. Although he received conservative treatment, abdominal distension became worsened gradually. Abdominal sonography was performed at 10-day-old and meconium peritonitis was suspected. He received exploratory laparotomy and a duodenal perforation was found. The perforated hole was treated by primary closure. The recovery course of this patient was uneventful. He began oral feeding on the 5th day after surgery and was discharged on the 10th day. |
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