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[新生儿金黄色葡萄球菌感染后迟发性门静脉系统梗阻]

[Portal system obstruction of delayed onset following neonatal Staphylococcus aureus infection].

作者信息

Garel D, Wood C, Pariente D, Dommergues J P

机构信息

Département de Pédiatrie, Hôpital de Bicêtre, Le Kremlin-Bicêtre.

出版信息

Arch Fr Pediatr. 1989 Jan;46(1):41-3.

PMID:2712656
Abstract

Two neonates underwent staphylococcal septicemia with multiple intrahepatic abscesses, following umbilical catheterization in one case and due to superinfected heel puncture in the other case. At the first examination, liver ultrasonography showed multiple hypoechogenic areas and assessed patency of the portal vein flow. In spite of clinical, biological and sonographic recovery within the following weeks, portal hypertension due to seemingly late portal vein thrombosis occurred. These clinical reports indicate the need for a protracted echosonographic supervision of neonatal intrahepatic abscesses and portal vein patency before asserting complete recovery.

摘要

两名新生儿发生葡萄球菌败血症并伴有多发性肝内脓肿,其中一例是在脐静脉插管后发生,另一例是由于足跟穿刺部位发生重复感染所致。首次检查时,肝脏超声检查显示多个低回声区,并评估门静脉血流的通畅情况。尽管在接下来的几周内临床、生物学和超声检查结果均恢复正常,但由于门静脉血栓形成似乎较晚,仍出现了门静脉高压。这些临床报告表明,在确认完全康复之前,需要对新生儿肝内脓肿和门静脉通畅情况进行长期的超声监测。

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