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頁籤選單縮合
題 名 | Neonatal Adrenal Hemorrhage Presenting as Early Jaundice: Report of One Case=以早期黃疸表現之新生兒腎上腺出血:一病例報告 |
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作 者 | 賴輝謙; 劉韶薇; | 書刊名 | 秀傳醫學雜誌 |
卷 期 | 4:1 2003.01[民92.01] |
頁 次 | 頁47-49 |
分類號 | 417.517 |
關鍵詞 | 腎上腺出血; 超音波; 黃疸; Neonatal adrenal hemorrhage; Ultrasonography; Jaundice; Anemia; |
語 文 | 英文(English) |
中文摘要 | 由於新生兒賢上腺相對較大的體積及血流豐富,新生兒上賢出血的發生并不少見,其發生率約為1.7至1.9人/每千人活產新生兒。新生兒腎上腺出血的臨床表現差異很大,從無症狀至嚴重出血導致低血壓,休克,或腎上腺功能不全等皆有。超音波在診斷新生兒腎上腺出血及區分新生兒賢上腺腫瘤合併出血佔重要地位,賢上腺出血於超音波的追蹤檢查會顯示改變回音像及逐漸縮小而消失,進而可以避免不必要的外科手術。在此報告一位新生兒出生時有發紺及活動力降低但經刺激及給予氧氣後便改善,兩天大時黃疸值為20.3mg/dL,血紅素13.1gm/dL,血球比容38.6%,經照光治療6天後的黃疸價為11.4mg/dL,腹部超音波意外發現左腎上方腫瘤,經電腦斷層掃描及追蹤超音波檢查顯示該腫瘤液化後逐漸縮小消失證實為左側賢上腺出血。 |
英文摘要 | The neonatal adrenal gland is vulnerable to traumatic hemorrhage because of its relatively large size and hypervascularity. The clinical manifestations of neonatal adrenal hemorrhage (NAB) are variable. We present a case of NAN, with cyanosis and decreased activity soon after birth, but improved after tactile stimulation and oxygen supply. Marked jaundice with anemia was noted at 2 days of age. Abdominal ultrasound revealed a left suprarenal mass with mixed echogenicity. Total bilirubin level declined after 6 days of phototherapy. Progressive regression and complete resolution of the mass on follow-up ultrasonography comfirned the diagnosis of NAH. |
本系統中英文摘要資訊取自各篇刊載內容。