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[朗格汉斯多腺瘤病继发高胰岛素血症所致新生儿低血糖。胰腺切除术后康复]

[Neonatal hypoglycemia due to hyperinsulinism secondary to Langerhans' polyadenomatosis. Recovery after pancreatectomy].

作者信息

Babinet J M, Labrune B, Vignes B, Thibaud D, Valayer J, Tichet J, Gubler J P

出版信息

Arch Fr Pediatr. 1975 Jun-Jul;32(6):515-31.

PMID:170877
Abstract

Report of a case of a neonatal hypoglycemia detected at the 11th hour of life, secondary to a Langherans polyadenomatosis in a girl with an hemihypertrophy. Pre- and post-operative tests are reported. In case of neonatal hypoglycemia, the criteria leading to the diagnosis of hyperinsulinism, i.e. the only neonatal hypoglycemia with surgical treatment are reviewed. Except in the case of adenoma, the pancreatectomy should be performed subtotally. The best time for surgery is as soon as the 3rd week, in order to preserve the cerebral development.

摘要

一名患有半侧肥大的女孩,因朗格汉斯细胞多腺瘤病在出生后11小时被检测出新生儿低血糖症的病例报告。报告了术前和术后检查情况。对于新生儿低血糖症,回顾了导致诊断为高胰岛素血症的标准,即唯一可进行手术治疗的新生儿低血糖症。除腺瘤病例外,胰腺切除术应进行次全切除。手术的最佳时间是在第3周尽快进行,以保护大脑发育。

引用本文的文献

1
Neonatal and infantile hypoglycemia due to insulin excess: new aspects of diagnosis and surgical management.
Ann Surg. 1977 May;185(5):505-17. doi: 10.1097/00000658-197705000-00002.
2
Beta cell nesidioblastosis.
Eur J Pediatr. 1978 Jan 17;127(2):75-89. doi: 10.1007/BF00445763.

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