Chu Alison, Chiu Harvey K
Pediatr Ann. 2015 Oct;44(10):e237-42. doi: 10.3928/00904481-20151012-07.
Necrotizing enterocolitis in full-term infants is relatively rare. When seen, it is usually associated with perinatal asphyxia, sepsis, or specific forms of congenital heart disease. It can also be associated with endocrinopathies. In this review, a full-term infant was found to have necrotizing enterocolitis and persistent hypoglycemia. Evaluation for hypoglycemia revealed pan-hypopituitarism, and magnetic resonance imaging confirmed this diagnosis. Timely evaluation and early initiation of hormone replacement therapy is essential to minimize long-term morbidities and mortality associated with pan-hypopituitarism.
足月儿坏死性小肠结肠炎相对少见。一旦出现,通常与围产期窒息、败血症或特定类型的先天性心脏病有关。它也可能与内分泌疾病有关。在本综述中,一名足月儿被发现患有坏死性小肠结肠炎和持续性低血糖。对低血糖的评估显示全垂体功能减退,磁共振成像证实了这一诊断。及时评估并尽早开始激素替代治疗对于将与全垂体功能减退相关的长期发病率和死亡率降至最低至关重要。