坏死性小肠结肠炎：婴幼儿急性腹泻病中一种被忽视的危及生命的并发症。

Necrotizing enterocolitis: an overlooked life-threatening complication of acute diarrhoeal illness in infants and children.

作者信息

Yohannan M D, Lindblad B S

机构信息

Department of Paediatrics, College of Medicine, King Saud University, Riyadh, Saudi Arabia.

出版信息

Ann Trop Paediatr. 1990;10(4):407-9. doi: 10.1080/02724936.1990.11747466.

DOI:10.1080/02724936.1990.11747466

PMID:1708971

Abstract

A 7-month-old girl developed necrotizing enterocolitis with extensive pneumatosis intestinalis following an acute diarrhoeal illness. This was preceded by the use of an anti-motility drug and repeated attacks of paralytic ileus. It is noteworthy that all the published cases of necrotizing enterocolitis following acute diarrhoeal illness in infants and children are from tropical countries. This might be related to the use of anti-diarrhoeal drugs and associated malnutrition resulting in hypokalaemia and hypoalbuminaemia.

摘要

一名7个月大的女童在急性腹泻病后发生坏死性小肠结肠炎，并伴有广泛的肠壁积气。在此之前使用过止泻药，且反复出现麻痹性肠梗阻。值得注意的是，所有已发表的关于婴幼儿急性腹泻病后发生坏死性小肠结肠炎的病例均来自热带国家。这可能与使用止泻药以及相关的营养不良导致低钾血症和低白蛋白血症有关。