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頁籤選單縮合
題名 | Intussusception Encephalopathy Associated with Rotavirus Gastroenteritis in an 8-Month-Old Infant=一位八個月大幼兒感染輪狀病毒腸胃炎合併腸套疊腦病變 |
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作者 | 許木嶺; 陳俊榮; 盧建維; 何慈育; 李明勇; 陳錫洲; | 書刊名 | 中華民國重症醫學雜誌 |
卷期 | 5:2 2003[民92.] |
頁次 | 頁156-159 |
分類號 | 417.5473 |
關鍵詞 | 腸套疊; 腦病變; 輪狀病毒感染; Intussusception; Encephalopathy; Rotavirus infection; |
語文 | 英文(English) |
中文摘要 | 我們提出一位八個月大男性幼兒,最初以意識改變、嘔吐、腹瀉,但無腹痛表現之症狀,經檢查及評估後臆斷為輪狀病毒腸胃炎合併擬似抽慉發作。然而病兒症狀持續,並於隔日出現血便,緊急安排腹部超音波後,發現於右下腹有「靶狀」之病灶,在診斷為腸套疊下為病兒進行水壓式復位術,病兒在治療後病狀有明顯改善。此個案提醒兒科醫師,當病兒有腸胃症狀合併原因不明之意識狀態改變時,要特別提高警覺,是否有腸套疊腦病變之可能性,以避免延誤病情。 |
英文摘要 | We present an 8-month-old male infant with altered consciousness, vomiting, diarrhea, and painless abdomen as the initial presentation. Rotavirus gastroenteritis associated with seizure-like attack was suspected. However, the symptoms and sings persisted, and hematochezia appeared the next day. Intussusception was proved by the emergent abdominal sonography, and hydrostatic reduction was performed successfully. The presence of gastrointestinal symptoms or signs in association with altered consciousness of unknown cause should alert the pediatrician to the possibility of an intussusceptions. |
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