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[胎粪性腹膜炎。产前诊断的价值]

[Meconium peritonitis. The value of prenatal diagnosis].

作者信息

Wakim A, Bargy F, Helardot P G, Sapin E, Kurzenne J Y, Bienayme J

机构信息

Service de Chirurgie Pédiatrique, Hôpital Saint-Vincent-de-Paul, Paris.

出版信息

Chir Pediatr. 1989;30(1):21-4.

PMID:2663201
Abstract

Over an eight year period (1980-1987), fifteen cases of meconium peritonitis have been studied. As it has been reported, this pathology is still very rare. Ten pregnancies have been followed on by multiple échographies and the prenatal diagnosis of meconium peritonitis, suspected as early as 24 weeks of amenorrhea, has been established in ten cases. Among these, eight infants have been operated on before twelve hours of life, and for the ninth, surgical treatment was not advocated. The most frequent cause of the pathology is a perforation above a bowel obstruction. Two had cystic fibrosis. Of the 15 infants with meconium peritonitis, nine survived, and among these, one with cystic fibrosis and the one that has not been operated. Prenatal diagnosis in meconium peritonitis is of major interest in taking care early infants that will need an urgent surgical operation in most cases.

摘要

在八年期间(1980 - 1987年),对15例胎粪性腹膜炎病例进行了研究。据报道,这种病症仍然非常罕见。对10例妊娠进行了多次超声检查,在10例病例中早在闭经24周时就确诊了胎粪性腹膜炎的产前诊断。其中,8例婴儿在出生后12小时内接受了手术,第9例则不主张进行手术治疗。该病症最常见的病因是肠梗阻上方的穿孔。2例患有囊性纤维化。15例胎粪性腹膜炎婴儿中,9例存活,其中1例患有囊性纤维化,1例未接受手术。胎粪性腹膜炎的产前诊断对于照顾大多数情况下需要紧急手术的早产婴儿至关重要。

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[Meconium peritonitis. The value of prenatal diagnosis].[胎粪性腹膜炎。产前诊断的价值]
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Meconium peritonitis: prenatal sonographic findings and their clinical significance.胎粪性腹膜炎:产前超声检查结果及其临床意义。
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Perforated tubular duplication of the transverse colon: a rare cause of meconium peritonitis with prenatal diagnosis.横结肠管状重复畸形穿孔:一种罕见的胎粪性腹膜炎病因及产前诊断
Pediatr Surg Int. 2005 Feb;21(2):110-2. doi: 10.1007/s00383-004-1349-6. Epub 2005 Jan 11.