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新生儿腹腔积血：意外的产伤，后果致命。

Neonatal hemoperitoneum: unexpected birth trauma with fatal consequences.

作者信息

Pignotti Maria Serenella, Fiorini Patrizio, Donzelli Gianpaolo, Messineo Antonio

机构信息

Department of Paediatrics, Neonatal Medicine, Anna Meyer Children's Hospital, University of Florence, Florence, Italy.

出版信息

J Clin Neonatol. 2013 Jul;2(3):143-5. doi: 10.4103/2249-4847.120006.

DOI:10.4103/2249-4847.120006
PMID:24251261
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3830152/
Abstract

We report a case of fatal intra-abdominal bleeding in a term newborn delivered by vacuum extractor and Kristeller manouvre. Although autopsy was not performed in compliance with the parents' wishes, there is strong evidence of a massive abdominal haemorrhage due to injuries of the hypochondriac organs probably leading to disconnection of a vascular pedicle.

摘要

我们报告一例通过真空吸引器和克里斯特勒手法分娩的足月儿发生致命性腹腔内出血的病例。尽管因家长意愿未进行尸检，但有强有力的证据表明，由于季肋部器官损伤导致血管蒂离断，从而发生了大量腹腔内出血。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5b34/3830152/b93f9769d35f/JCN-3-143-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5b34/3830152/1a5f8d4f3787/JCN-3-143-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5b34/3830152/b93f9769d35f/JCN-3-143-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5b34/3830152/1a5f8d4f3787/JCN-3-143-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5b34/3830152/b93f9769d35f/JCN-3-143-g002.jpg

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本文引用的文献

1
Management of birth injuries.产伤的处理
Pediatr Clin North Am. 2004 Aug;51(4):1169-86, xii. doi: 10.1016/j.pcl.2004.03.007.
2
Neonatal hemoperitoneum caused by a congenital liver angioma.先天性肝血管瘤导致的新生儿腹腔积血
J Pediatr Surg. 2004 Feb;39(2):234-6. doi: 10.1016/j.jpedsurg.2003.10.020.
3
Unexpected birth trauma with near fatal consequences.
Eur J Emerg Med. 2000 Jun;7(2):151-4. doi: 10.1097/00063110-200006000-00012.
4
[Neonatal hemoperitoneum: role of ultrasonography. Experience with 4 cases].[新生儿腹腔积血：超声检查的作用。4例经验]
Radiol Med. 1994 Oct;88(4):425-8.
5
Intrapartum rupture of the falciform ligament and umbilical vein. A rare cause of hemoperitoneum in the newborn.分娩期镰状韧带和脐静脉破裂。新生儿腹腔积血的罕见原因。
Clin Pediatr (Phila). 1987 Jun;26(6):316-8. doi: 10.1177/000992288702600611.
6
Unsuspected hepatic injury in the neonate--diagnosis by ultrasonography.新生儿隐匿性肝损伤——超声诊断
Pediatr Radiol. 1990;20(5):320-2. doi: 10.1007/BF02013163.
7
Perforation of the peritoneum and intra-abdominal hemorrhage: a complication of umbilical vein catheterizations.腹膜穿孔和腹腔内出血：脐静脉插管的一种并发症。
Am J Dis Child. 1977 Oct;131(10):1102-3. doi: 10.1001/archpedi.1977.02120230048008.