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新生儿自发性肠穿孔:是否总是需要手术治疗?

Spontaneous intestinal perforation in neonates: is surgery always indicated?

作者信息

Khan Rizwan Ahmad, Mahajan Jai Kumar, Rao Kataragadda Lakshmi Narasimha

机构信息

Division of Paediatric Surgery, Department of Surgery, JNMCH, Aligarh, India.

出版信息

Afr J Paediatr Surg. 2011 May-Aug;8(2):249-51. doi: 10.4103/0189-6725.86076.

DOI:10.4103/0189-6725.86076
PMID:22005379
Abstract

The usual accepted mode of treatment of neonates with necrotizing enterocolitis (NEC) and pneumoperitoneum is surgical. However, in a select group of patients conservative treatment is feasible. Pneumoperitoneum without peritonitis is a rare phenomenon which creates a management problem for the treating surgeon. We present two cases of pneumoperitoneum to discuss the non-surgical management of pneumoperitoneum and describe their outcomes.

摘要

坏死性小肠结肠炎(NEC)合并气腹的新生儿,通常公认的治疗方式是手术治疗。然而,在特定的一组患者中,保守治疗是可行的。无腹膜炎的气腹是一种罕见现象,给主治外科医生带来了管理难题。我们展示两例气腹病例,以探讨气腹的非手术管理并描述其结果。

相似文献

1
Spontaneous intestinal perforation in neonates: is surgery always indicated?新生儿自发性肠穿孔:是否总是需要手术治疗?
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[Pneumoperitoneum in infancy].[婴儿气腹]
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[Imaging assessment of neonatal necrotizing enterocolitis].新生儿坏死性小肠结肠炎的影像学评估
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引用本文的文献

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An Early Presentation of Spontaneous Intestinal Perforation in a Very Low Birth Weight Neonate: A Case Report.极低出生体重儿自发性肠穿孔的早期表现:一例报告
Cureus. 2023 Jul 22;15(7):e42285. doi: 10.7759/cureus.42285. eCollection 2023 Jul.
2
Successful conservative treatment of intestinal perforation in VLBW and ELBW neonates: a single centre case series and review of the literature.成功治疗极低出生体重儿和超低出生体重儿肠穿孔的保守治疗:单中心病例系列及文献复习。
BMC Pediatr. 2019 Jul 25;19(1):255. doi: 10.1186/s12887-019-1641-1.
3
Pneumoperitoneum in a neonate weighing less than 500 g. What do we really know about it?
体重不足500克新生儿的气腹。我们对此究竟了解多少?
BMJ Case Rep. 2018 May 16;2018:bcr-2018-224398. doi: 10.1136/bcr-2018-224398.
4
Management of neonatal spontaneous intestinal perforation by peritoneal needle aspiration.经腹腔穿刺针抽吸治疗新生儿自发性肠穿孔
J Perinatol. 2018 Feb;38(2):159-163. doi: 10.1038/jp.2017.170. Epub 2017 Nov 9.
5
Clinical spectrum of neonates presenting with pneumoperitoneum: A retrospective study.新生儿气腹的临床谱:一项回顾性研究。
Afr J Paediatr Surg. 2016 Jul-Sep;13(3):120-4. doi: 10.4103/0189-6725.187804.
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Spontaneous intestinal perforation in neonates.新生儿自发性肠穿孔
J Neonatal Surg. 2015 Apr 1;4(2):14. eCollection 2015 Apr-Jun.
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Idiopathic neonatal pneumoperitoneum with favorable outcome: A case report and review.特发性新生儿气腹且预后良好:一例报告及文献复习
World J Gastroenterol. 2015 May 28;21(20):6417-21. doi: 10.3748/wjg.v21.i20.6417.
8
Pneumoperitoneum in the newborn: is surgical intervention always indicated?新生儿气腹:是否总是需要手术干预?
J Neonatal Surg. 2014 Jul 10;3(3):32. eCollection 2014 Jul-Sep.
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Characteristic Radiological findings in Preterm Infants with Missed Intestinal Perforation.未被及时发现的肠穿孔早产儿的特征性放射学表现。
J Neonatal Surg. 2014 Jul 10;3(3):27. eCollection 2014 Jul-Sep.
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Gastrointestinal perforation in neonates: aetiology and risk factors.新生儿胃肠道穿孔:病因及危险因素
J Neonatal Surg. 2013 Jul 1;2(3):30. eCollection 2013 Jul-Sep.