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頁籤選單縮合
題名 | Neonatal Appendicitis Complicated with Acute Renal Failure: A Case Report=新生兒急性盲腸炎併發急性腎衰竭--一病例報告 |
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作者 | 黃清峰; 陳錫洲; 朱志純; 陳克琦; 何文佑; 錢新南; | 書刊名 | 中華民國重症醫學雜誌 |
卷期 | 5:2 2003[民92.] |
頁次 | 頁151-155 |
分類號 | 417.62441 |
關鍵詞 | 盲腸炎; 新生兒; 急性腎衰竭; Appendicitis; Newborn; Acute renal failure; |
語文 | 英文(English) |
中文摘要 | 新生兒急性盲腸炎為一非常罕見疾病,初步臨床症狀包括食慾不振、嘔吐與腹脹,都不具有特異性,因此早期難以確切診斷。此個案報告為十一天大男童,為一化膿性、穿孔性盲腸炎。腹部皮膚可見紅腫硬化現象。病患併發急性腎衰竭與高血鉀。即使施行腹膜透析術,病童情況仍快速惡化。 即使新生兒盲腸炎非常罕見,但因此疾病具有高死亡率,醫護人員仍應提高警覺,並將此一疾病列入鑑別診斷之中。 |
英文摘要 | Acute neonatal appendicitis is very rare. The initial symptoms, including anorexia, vomiting and abdominal distension, are too indistinct to make a precise diagnosis. We present a case of acute supportive appendicitis with perforation in an 11-day-old newborn. Dermato-scleritic change with erythematous rash over the right flank were noted. Grave complications set in, with acute renal failure and hyperkalemia developing. The newborn’s condition deteriorated rapidly, even though peritoneal dialysis (PD) was performed. Despite the rarity of this unusual neonatal appendicitis, the possibility of its occurrence should be kept in mind given the high mortality rate associated with the disease. |
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