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一名足月新生儿患溶血性黄疸,在接受静脉注射免疫球蛋白治疗后发生了穿孔性阑尾炎。

Perforated appendicitis after intravenous immunoglobulin therapy in a term neonate with haemolytic jaundice.

作者信息

Atikan Basak Yildiz, Koroglu Ozge Altun, Yalaz Mehmet, Ergun Orkan, Dokumcu Zafer, Doganavsargil Basak, Akisu Mete, Kultursay Nilgun

机构信息

Department of Pediatrics, Ege University, Faculty of Medicine, Izmir, Turkey.

Department of Pediatrics, Division of Neonatology, Ege University, Faculty of Medicine, Izmir, Turkey.

出版信息

J Coll Physicians Surg Pak. 2015 Apr;25(4):296-8.

Abstract

Neonatal appendicitis is a rare clinical condition that may cause high morbidity and mortality if diagnosis is delayed. There is usually an underlying disease; it can also be a localized form of necrotizing enterocolitis. Here, we present a term neonate who was treated with intravenous immunoglobulin because of severe isoimmune hemolytic jaundice. The patient developed abdominal symptoms within 10 hours of therapy, was diagnosed with acute perforated appendicitis and completely recovered after surgery.

摘要

新生儿阑尾炎是一种罕见的临床病症,如果诊断延误可能导致高发病率和死亡率。通常存在潜在疾病;它也可能是坏死性小肠结肠炎的一种局部形式。在此,我们报告一名足月儿,因严重的同族免疫性溶血性黄疸接受静脉注射免疫球蛋白治疗。该患者在治疗后10小时内出现腹部症状,被诊断为急性穿孔性阑尾炎,术后完全康复。

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