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早产儿肠梗阻:内镜诊断与微创手术治疗

Intestinal obstruction in a premature baby: Endoscopic diagnosis and management by minimal access surgery.

作者信息

Kandpal Deepak K, Siddharth Sanjay, Balan Saroja, Chowdhary Sujit K

机构信息

Department of Pediatric Urology and Pediatric Surgery, Indraprastha Apollo Hospitals, Sarita Vihar, New Delhi, India.

出版信息

J Indian Assoc Pediatr Surg. 2013 Jul;18(3):118-20. doi: 10.4103/0971-9261.116046.

DOI:10.4103/0971-9261.116046
PMID:24019644
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3760311/
Abstract

Neonatal intestinal obstruction is the most common surgical emergency in a newborn. Although, large numbers of newborns are operated in our country, limited published literature is available on advances in diagnosis, and management of this problem with outcome analysis in newborns. We report a premature (32 weeks) newborn who developed acute onset symptoms of small bowel obstruction in 3(rd)week of life, and discuss the approach to diagnosis and management with the minimal access surgery and successful outcome.

摘要

新生儿肠梗阻是新生儿最常见的外科急症。尽管我国有大量新生儿接受手术治疗,但关于该问题诊断进展、治疗方法及新生儿预后分析的已发表文献有限。我们报告一例早产(32周)新生儿,其在出生后第3周出现小肠梗阻急性发作症状,并讨论了采用微创手术进行诊断和治疗的方法及成功的治疗结果。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/40f4/3760311/07eee6bf8619/JIAPS-18-118-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/40f4/3760311/4873dd423fa8/JIAPS-18-118-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/40f4/3760311/07eee6bf8619/JIAPS-18-118-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/40f4/3760311/4873dd423fa8/JIAPS-18-118-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/40f4/3760311/07eee6bf8619/JIAPS-18-118-g002.jpg

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本文引用的文献

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Laparoscopy-assisted surgery for neonatal intestinal atresia and stenosis: a report of 35 cases.腹腔镜辅助手术治疗新生儿肠闭锁和狭窄:35例报告
Pediatr Surg Int. 2012 Dec;28(12):1225-8. doi: 10.1007/s00383-012-3216-1. Epub 2012 Nov 13.
2
Minimal access surgery in children:a 5 year study.儿童微创外科:5 年研究。
Indian Pediatr. 2012 Dec;49(12):971-4. doi: 10.1007/s13312-012-0246-7. Epub 2012 Jun 10.
3
Neonatal surgery: a ten year audit from a university hospital.新生儿外科:一所大学医院的十年审计
Indian J Pediatr. 2008 Oct;75(10):1025-30. doi: 10.1007/s12098-008-0205-4. Epub 2008 Nov 21.
4
Meckel's diverticular complications in children: is laparoscopy the order of the day?儿童梅克尔憩室并发症:腹腔镜手术是当下的首选吗?
Pediatr Surg Int. 2007 Feb;23(2):141-7. doi: 10.1007/s00383-006-1844-z. Epub 2006 Dec 14.
5
Intestinal obstruction in neonatal/pediatric surgery.新生儿/小儿外科中的肠梗阻
Semin Pediatr Surg. 2003 Nov;12(4):241-53. doi: 10.1053/j.sempedsurg.2003.08.005.
6
Meckel's diverticulum associated with ileal volvulus in a neonate.一名新生儿中与回肠扭转相关的梅克尔憩室。
Pediatr Surg Int. 2002 Sep;18(5-6):529-31. doi: 10.1007/s00383-002-0784-5. Epub 2002 May 8.
7
Duodenal atresia: outcome analysis from a regional neonatal center.十二指肠闭锁:来自某地区新生儿中心的结局分析
Indian Pediatr. 2001 Nov;38(11):1277-80.
8
Laparascopy for definitive diagnosis and treatment of gastrointestinal bleeding of obscure origin in children.腹腔镜检查用于儿童不明原因胃肠道出血的明确诊断和治疗。
J Pediatr Surg. 2000 Sep;35(9):1291-3. doi: 10.1053/jpsu.2000.9299.
9
Laparoscopic surgery in newborn infants.新生儿腹腔镜手术
Surg Endosc. 1999 Aug;13(8):773-7. doi: 10.1007/s004649901096.
10
Neonatal small bowel obstruction due to Meckel diverticulitis: diagnosis by ultrasonography.梅克尔憩室炎所致新生儿小肠梗阻:超声诊断
J Ultrasound Med. 1993 Feb;12(2):119-22. doi: 10.7863/jum.1993.12.2.119.