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小儿以急腹症为表现的肺炎:三例报告

Pneumonia presenting as acute abdomen in children: a report of three cases.

作者信息

Vendargon S, Wong P S, Tan K K

机构信息

Department of Cardiothoracic Surgery, Sultanah Aminah Hospital, 80100 Johor Bahru, Johore.

出版信息

Med J Malaysia. 2000 Dec;55(4):520-3.

PMID:11221169
Abstract

From 10th September 1998 till 5th June 1999, the Paediatric and Cardiothoracic Surgery Units of Sultanah Aminah Hospital Johor Bahru managed three children with lung collapse secondary to pneumonia. The dominant initial clinical presentation in all three cases was acute abdominal pain. Basal pneumonia was diagnosed in two cases post-operatively after surgical contributory causes were excluded intra-operatively. Thoracotomy, evacuation of infected debris and decortication of the collapsed lung was done in all three cases. In children presenting with acute abdominal pain, basal pneumonia should be considered as a possible contributory cause.

摘要

1998年9月10日至1999年6月5日,柔佛州新山市苏丹娜阿米娜医院的儿科和心胸外科收治了3例因肺炎继发肺萎陷的儿童患者。所有3例患者最初的主要临床表现均为急性腹痛。其中2例在术中排除手术相关病因后,于术后诊断为基底性肺炎。所有3例患者均接受了开胸手术、清除感染性碎屑以及对萎陷肺进行剥脱术。对于出现急性腹痛的儿童,应考虑基底性肺炎可能是一个致病因素。

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