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病例报告:先天性短肠综合征。

Case report: Congenital short bowel syndrome.

作者信息

Palle Lalitha, Reddy Balaji

机构信息

Department of Radiology, Focus Diagnostic Center, Punjagutta, Hyderabad, India.

出版信息

Indian J Radiol Imaging. 2010 Aug;20(3):227-9. doi: 10.4103/0971-3026.69366.

Abstract

Congenital short bowel syndrome (SBS) is a relatively rare condition as compared to acquired SBS. It is associated with significant mortality and morbidity. Infants usually present with failure to thrive, recurrent vomiting, and diarrhea. It is important to suspect and diagnose this condition promptly, as early initiation of parenteral nutrition or surgery, if necessary, may result in a favorable outcome. We discuss a case of an infant aged 26 days, who presented with failure to thrive, recurrent vomiting, and weight loss. A contrast study of the gastrointestinal tract revealed a short small bowel, with malrotation. The infant was started on parenteral nutrition, but succumbed shortly thereafter to severe disseminated sepsis.

摘要

与获得性短肠综合征相比,先天性短肠综合征(SBS)是一种相对罕见的病症。它与显著的死亡率和发病率相关。婴儿通常表现为发育不良、反复呕吐和腹泻。及时怀疑并诊断这种病症很重要,因为如有必要,早期开始肠外营养或手术可能会带来良好的结果。我们讨论一例26天大的婴儿病例,该婴儿表现为发育不良、反复呕吐和体重减轻。胃肠道造影研究显示小肠短且存在肠旋转不良。该婴儿开始接受肠外营养,但此后不久死于严重的播散性脓毒症。

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