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頁籤選單縮合
題名 | Non-Operative Treatment of Idiopathic Colonic Perforation in A Neonate=新生兒不明原因性結腸穿孔的非手術治療病例報告 |
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作者 | 陳芸; 賴鴻緒; Chen, Yun; Lai, Hong-shiee; |
期刊 | 臺灣外科醫學會雜誌 |
出版日期 | 20030500、20030600 |
卷期 | 36:3 民92.05-06 |
頁次 | 頁147-150 |
分類號 | 417.5478 |
語文 | eng |
關鍵詞 | 新生兒; 結腸穿孔; Idiopathic colonic perforation; Non-operative treatment; |
英文摘要 | Single bowel perforation without clinical evidence of intestinal obstruction, NEC, or other gastrointestinal lesion may then be diagnosed as idiopathic bowel perforation. Idiopathic coionic perforation in the neonate is rare and difficult to diagnose clinically. Surgical treatment of idiopathic coionic perforation is usually necessary. We present the experience of successful conservative treatment for a full-term neonate with idiopathic coionic perforation. She was a full-term baby who had abdominal distension and bilious vomiting at the age of three days. There was no occult blood in the stool. A contrast study of the lower gastrointestinal tract showed a small perforation at the splenic flexure of the colon on the 6th postdelivery day. Because her condition was stable and there were no peritoneal signs, conservative treatment was given. Feeding was started 17 days alter admission, and she was discharged 9 days later. She was doing well after 10 months Of follow up. It is advocated that non-operative treatment may be feasible in patients with idiopathic coionic perforation in a stable clinical condition where there is a small and localized perforation and a good facility for close observation. |
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