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甲型H1N1流感产妇的通气与镇静导致胎儿膀胱破裂和尿腹水

Maternal ventilation and sedation for H1N1 influenza resulting in fetal bladder rupture and urinary ascites.

作者信息

Chaudhari Tejasvi, Robertson Meiri, Ellwood David, Simpson Erroll, Kecskes Zsuzsoka, Kent Alison L

机构信息

Department of Neonatology, Canberra Hospital, Woden, Australian Capital Territory, Australia.

出版信息

J Paediatr Child Health. 2013 Jan;49(1):E97-100. doi: 10.1111/j.1440-1754.2012.02502.x. Epub 2012 Jul 29.

DOI:10.1111/j.1440-1754.2012.02502.x
PMID:22845898
Abstract

Urinary ascites in a newborn infant is unusual and most commonly results from bladder perforation following umbilical arterial catheterisation or obstructive uropathy. The following report describes a case of fetal bladder rupture with urinary ascites in a mother ventilated and sedated with narcotics and benzodiazepines for H1N1 influenza. This was associated with a unique biochemical profile of hyponatraemia and elevated serum urea and creatinine characteristic of urinary autodialysis in the neonate.

摘要

新生儿出现尿腹水情况较为罕见，最常见的原因是脐动脉插管后膀胱穿孔或梗阻性尿路病。以下报告描述了一例胎儿膀胱破裂并伴有尿腹水的病例，该产妇因甲型H1N1流感接受了麻醉药和苯二氮䓬类药物进行通气和镇静。这与新生儿尿自透析所特有的低钠血症以及血清尿素和肌酐升高的独特生化特征相关。

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引用本文的文献

1
Unusual fetal ascites and spontaneous bladder rupture in a female fetus: a case report.一例女性胎儿罕见的腹水与自发性膀胱破裂：病例报告
J Med Case Rep. 2020 Jul 19;14(1):115. doi: 10.1186/s13256-020-02425-6.
2
Connatal Urinary Ascites in a Female Preterm.一名女性早产儿的先天性尿腹水
Case Rep Pediatr. 2017;2017:6760218. doi: 10.1155/2017/6760218. Epub 2017 Oct 11.