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溃疡型婴幼儿血管瘤的疼痛管理

Pain management for ulcerated infantile hemangiomas.

作者信息

Strand Megan, Smidt Aimee C

机构信息

Department of Dermatology, University of New Mexico, Albuquerque, New Mexico 87131, USA.

出版信息

Pediatr Dermatol. 2012 Jan-Feb;29(1):124-6. doi: 10.1111/j.1525-1470.2011.01679.x.

DOI:10.1111/j.1525-1470.2011.01679.x
PMID:22256995
Abstract

Perioral ulcerated hemangiomas in infants can present a therapeutic challenge to clinicians, especially when associated with severe pain and difficulty feeding. Topical and oral pain medications can be beneficial, but feeding difficulties may still occur while awaiting healing of the ulceration with the use of systemic or topical agents. We present a case of an infant with an ulcerated lip hemangioma treated with an over-the-counter topical sealant in combination with systemic corticosteroid therapy who showed dramatic improvement in pain and tolerance to feeding, resulting in healing of the ulceration.

摘要

婴儿口周溃疡性血管瘤会给临床医生带来治疗挑战,尤其是当伴有严重疼痛和喂养困难时。局部和口服止痛药物可能有益,但在使用全身或局部药物等待溃疡愈合期间,喂养困难可能仍然存在。我们报告一例患有溃疡性唇部血管瘤的婴儿,采用非处方局部封闭剂联合全身皮质类固醇治疗,结果疼痛显著改善,喂养耐受性提高,溃疡得以愈合。

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