坏死性小肠结肠炎伴复发性肝门静脉积气

Necrotizing enterocolitis with recurrent hepatic portal venous gas.

作者信息

Vollman J H, Smith W L, Tsang R C

出版信息

J Pediatr. 1976 Mar;88(3):486-7. doi: 10.1016/s0022-3476(76)80275-2.

Abstract

Two separate episodes of pneumatosis intestinalis and hepatic portal venous gas were observed in a premature infant with necrotizing enterocolitis. Although HPVG has previously been considered an ominous roentgenographic sign, the infant survived without surgical intervention. As in several cases reported by others, clinical and roentgenographic signs of NEC reappeared when enteric feedings were restarted prior to 10 days of medical therapy.

摘要

在一名患有坏死性小肠结肠炎的早产儿中观察到两例独立的肠壁积气和肝门静脉积气病例。尽管肝门静脉积气以前被认为是一种不祥的影像学征象，但该婴儿未经手术干预而存活。正如其他人报道的几例病例一样，在药物治疗10天之前重新开始肠内喂养时，坏死性小肠结肠炎的临床和影像学征象再次出现。