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題 名 | Intussusception in a Child Infected with Enterovirus: Case Report=感染腸病毒兒童併發腸套疊:病例報告 |
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作 者 | 林松聯; 施信如; 洪一斌; 林進耀; 呂嘉順; | 書刊名 | 長庚醫學 |
卷 期 | 22:2 1999.06[民88.06] |
頁 次 | 頁319-323 |
分類號 | 417.516 |
關鍵詞 | 腸病毒; 腸套疊; 聚合酵素鏈反應; Enterovirus; Intussusception; Polymerase chain reaction; |
語 文 | 英文(English) |
中文摘要 | 腸套疊是造成兒童腹部急症的主要原因之一,絕大多數原因不明,但某些病毒曾 經被懷疑過與其有關;其中包括腺病毒及人類�秤l病毒第六型已經直接證實 (於病人腸套疊 中的淋巴腺分離出病毒 DNA,RNA 或培養出病毒 )。 本例為一 20 個月大女童, 住院前 1 週感染咽峽炎,因斷續器鬧及嘔吐 4 天入院; 腹部超音波發現病人有腸套疊合併腸繫膜淋 巴腺腫大; 因病人已有腹膜炎現象,因此直接以外科整腹術,並取出 2 顆腫大之淋巴節; 病人術後復原良好,無復發現象。病人術後追�j高解析度超音波掃描,發現腫大之淋巴節迅 速萎縮;而取出之淋巴節以聚毒感染引起腸繫膜淋巴腺腫大有關之腸套疊;另外本例亦強調 高解析度超音波對腸套疊中淋巴腺之腫大、消退追�j掃描,有助於觀察與病毒感染有關之腸 套疊病例。 |
英文摘要 | Most intussusceptions in childhood are idiopathic. The association of viral infection has been suspected for decades. We report a case of ileocolonic intussusception in a child during a course of enterovirus infection. A 20-month-old girl with vomiting and irritable crying of 4 days' duration was found to have intussusception by sonography. She had suffered from herpangina one week earlier. Due to her peritoneal signs, she underwent surgical manual reduction. A cluster of enlarged lymph nodes in the intussuscipiens was noted preoperatively by high resolution ultrasound. Two swollen lymph nodes were removed for pathologic evaluation and examined for a viral genome by polymerase chain reaction (PCR) amplification. Panenterovirus base pairs were confirmed on the electrophoresis print. During postoperative sonographic follow-up, significant shrinkage of previous mesenteric lymphoid hyperplasia was observed. In this article, we present the first case of childhood intussusception in associated with enterovirus infection, in which the panenterovirus genome was identified in the patient's mesenteric lymph nodes. This was also the first evaluation of the role of mesenteric lymph nodes in intussusception by high resolution sonography. |
本系統中英文摘要資訊取自各篇刊載內容。