Pomeranz Albert
Department of Pediatrics, Medical College of Wisconsin, Children's Hospital of Wisconsin, Downtown Health Center, 1020 North 12th Street, Milwaukee, WI 53233, USA.
Pediatr Clin North Am. 2004 Jun;51(3):819-27, xii. doi: 10.1016/j.pcl.2004.01.010.
This article discusses various anomalies and abnormalities of the umbilical cord and issues related to cord care. The issue of screening newborns with an isolated single umbilical artery for renal abnormalities is addressed. The clinical presentation of infants with omphalomesenteric and urachal duct remants along with the more common umbilical granuloma is reviewed. All three of these abnormalities can present with a wet or draining cord. The need for umbilical cord treatment with antimicrobial/antiseptic agents versus dry cord care is discussed, as are serious infections that involve the cord.
本文讨论了脐带的各种异常情况以及与脐带护理相关的问题。文中探讨了对孤立单脐动脉新生儿进行肾脏异常筛查的问题。回顾了患有卵黄管和脐尿管残余物的婴儿以及更常见的脐肉芽肿的临床表现。这三种异常情况都可能表现为脐带潮湿或有分泌物。文中讨论了使用抗菌/防腐剂治疗脐带与脐带干燥护理的必要性,以及涉及脐带的严重感染。