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胎粪性腹膜炎假性囊肿会阻碍分娩吗？

Does meconium peritonitis pseudo-cyst obstruct labour?

作者信息

Al Tawil Khalil, Salhi Walid, Sultan Safiah, Namshan Mohammad, Mohammed Saeed

机构信息

Department of Paediatrics, King Abdulaziz Medical City, P.O. Box 22490, Riyadh 11426, Saudi Arabia.

出版信息

Case Rep Obstet Gynecol. 2012;2012:593143. doi: 10.1155/2012/593143. Epub 2012 Jun 7.

DOI:10.1155/2012/593143
PMID:22720178
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3375074/
Abstract

Meconium peritonitis pseudo-cyst is very rare. Its perinatal management is controversial and can be associated with increased fetomaternal morbidity and mortality. A 34-week gestation infant with large meconium peritonitis pseudo-cyst, detected by intrapartum fetal ultrasound study, had abnormally increased ratio of fetal abdominal circumference to head circumference. Intrapartum aspiration of the pseudo-cyst was performed and was followed by a smooth vaginal delivery. The postnatal course of the baby showed that early laparotomy was essential for stabilisation of the infant's general condition.

摘要

胎粪性腹膜炎假性囊肿非常罕见。其围产期管理存在争议，且可能增加母婴发病率和死亡率。一名34周妊娠的婴儿，通过产时胎儿超声检查发现患有巨大胎粪性腹膜炎假性囊肿，其胎儿腹围与头围之比异常增加。对假性囊肿进行了产时抽吸，随后顺利经阴道分娩。婴儿的产后病程表明，早期剖腹手术对于稳定婴儿的一般状况至关重要。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d429/3375074/a28d4192dfa6/CRIM.OBGYN2012-593143.003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d429/3375074/0f62198f01ff/CRIM.OBGYN2012-593143.001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d429/3375074/0d029d618d99/CRIM.OBGYN2012-593143.002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d429/3375074/a28d4192dfa6/CRIM.OBGYN2012-593143.003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d429/3375074/0f62198f01ff/CRIM.OBGYN2012-593143.001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d429/3375074/0d029d618d99/CRIM.OBGYN2012-593143.002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d429/3375074/a28d4192dfa6/CRIM.OBGYN2012-593143.003.jpg

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本文引用的文献

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Meconium pseudocyst secondary to ileum volvulus perforation without peritoneal calcification: a case report.继发于回肠扭转穿孔且无腹膜钙化的胎粪假性囊肿：一例报告
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Prenatal detection of the cystic form of meconium peritonitis: no issues for delayed postnatal surgery.胎粪性腹膜炎囊性形式的产前检测：对延迟出生后手术无影响。
Pediatr Surg Int. 2008 Sep;24(9):1061-5. doi: 10.1007/s00383-008-2194-9. Epub 2008 Jul 31.
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Prenatal MR imaging of a meconium pseudocyst extending to the right subphrenic space with right lung compression.产前磁共振成像显示胎粪假性囊肿延伸至右膈下间隙并压迫右肺。
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Antenatal diagnosis and management of meconium peritonitis: a case report and review of the literature.胎粪性腹膜炎的产前诊断与处理：一例病例报告及文献复习
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