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儿童过氧化氢灌肠致化学性结肠炎:病例报告及文献复习

Chemical colitis caused by hydrogen peroxide enema in a child: case report and literature review.

作者信息

Lee Joon Sang, Yoo Jung Kyung

机构信息

Department of Pediatrics, National Police Hospital, Seoul, Korea.

出版信息

Environ Health Toxicol. 2016 Dec 29;32:e2017002. doi: 10.5620/eht.e2017002. eCollection 2016.

DOI:10.5620/eht.e2017002
PMID:28111419
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5365302/
Abstract

A 2-year-old girl, previously healthy, was brought to the emergency department because of significant cramping abdominal pain with recurrent hematochezia after an accidental hydrogen peroxide enema (35%, 5 mL) by her caregiver. She was hospitalized to the pediatric department and treated with nothing per mouth, intravenous fluid and parenteral antibiotic therapy. Laboratory, radiologic and endoscopic evaluation was performed during the admission period. She was discharged in a fully recovered state on the tenth hospital day, and this is the first case report of acute chemical colitis by accidental hydrogen peroxide enema in children.

摘要

一名2岁女童,既往体健,因护理人员意外给予过氧化氢灌肠剂(35%,5毫升)后出现严重的腹部绞痛并反复便血,被送往急诊科。她被收治入儿科,接受禁食、静脉补液及肠外抗生素治疗。住院期间进行了实验室、影像学及内镜检查评估。患儿于住院第10天痊愈出院,这是儿童意外过氧化氢灌肠致急性化学性结肠炎的首例病例报告。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1c71/5365302/9a5ce82c72de/eht-32-e2017002f3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1c71/5365302/d074962e3dcd/eht-32-e2017002f1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1c71/5365302/83cdb5ce81f3/eht-32-e2017002f2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1c71/5365302/9a5ce82c72de/eht-32-e2017002f3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1c71/5365302/d074962e3dcd/eht-32-e2017002f1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1c71/5365302/83cdb5ce81f3/eht-32-e2017002f2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1c71/5365302/9a5ce82c72de/eht-32-e2017002f3.jpg

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引用本文的文献

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本文引用的文献

1
[A case of chemical colitis caused by hydrogen peroxide enema].[一例过氧化氢灌肠致化学性结肠炎病例]
Korean J Gastroenterol. 2011 Dec;58(2):100-2. doi: 10.4166/kjg.2011.58.2.100.
2
Hydrogen peroxide exposure mimicking ulcerative proctitis.模拟溃疡性直肠炎的过氧化氢暴露。
Dig Liver Dis. 2011 Apr;43(4):331-2. doi: 10.1016/j.dld.2010.10.016. Epub 2010 Dec 3.
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Chemical colitis.化学性结肠炎
J Clin Gastroenterol. 2008 Feb;42(2):115-21. doi: 10.1097/MCG.0b013e318151470e.
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Waiting-list induced proctitis: the hydrogen peroxide enema.等待名单诱发的直肠炎:过氧化氢灌肠剂
Can J Gastroenterol. 2003 Dec;17(12):727-9. doi: 10.1155/2003/716490.
5
Ulcerative colitis following hydrogen peroxide enema: case report and experimental production with transient emphysema of colonic wall and gas embolism.过氧化氢灌肠后发生溃疡性结肠炎:病例报告及结肠壁短暂性气肿和气体栓塞的实验性产生
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Chemical colitis due to endoscope cleaning solutions: a mimic of pseudomembranous colitis.内镜清洗液导致的化学性结肠炎:类假膜性结肠炎
Gastroenterology. 1988 Nov;95(5):1403-8. doi: 10.1016/0016-5085(88)90380-0.
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Hydrogen peroxide enteritis: the "snow white" sign.过氧化氢性肠炎:“白雪”征
Gastrointest Endosc. 1989 Sep-Oct;35(5):428-30. doi: 10.1016/s0016-5107(89)72849-2.