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[先天性小肠闭锁相关的非免疫性胎儿水肿——病例报告]

[Nonimmune hydrops fetalis associated with congenital small bowel atresia--a case study].

作者信息

Pietryga Marek, Murlewska Julia, Pietrzycka Dorota, Becela Piotr, Brazert Jacek, Gadzinowski Janusz, Jankowski Andrzej

机构信息

Klinika Połoznictwa i Chorób Kobiecych, Uniwersytet Medyczny im. K. Marcinkowsldego w Poznaniu, Polska.

出版信息

Ginekol Pol. 2011 Sep;82(9):709-14.

Abstract

Nonimmune hydrops fetalis is observed with the frequency of 1:3000 cases diagnosed pre- and postnatally. In the following paper the authors analyzed the course of pregnancy complicated by fetal ascites and polyhydramnios with the appearance of colonic ileus and they presented the postnatal condition of the baby The preliminary diagnosis was confirmed after birth and the newborn was operated in the second day of his life. The congenital small bowel atresia was qualified as a III B type (Grossfeld qualification), which is called the "pagoda" syndrome [3]. The colonic atresia is located then around the superior mesenteric vessels, which leads to colonic necrosis (Figure 1).

摘要

非免疫性胎儿水肿在产前和产后诊断的病例中出现频率为1:3000。在以下论文中,作者分析了合并胎儿腹水和羊水过多以及出现结肠肠梗阻的妊娠过程,并阐述了患儿的产后情况。出生后初步诊断得到证实,新生儿在出生第二天接受了手术。先天性小肠闭锁被判定为III B型(格罗斯费尔德分类),即所谓的“宝塔”综合征[3]。结肠闭锁位于肠系膜上血管周围,导致结肠坏死(图1)。

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