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新生儿双侧肾上腺脓肿的非手术治疗：两例报告

Non-Surgical Management of Bilateral Adrenal Abscess in Neonates: Report of Two Cases.

作者信息

Mandelia Ankur, Kishore J S, Yadav Rajnikant, Lal Richa

机构信息

Department of Pediatric Surgery, Sanjay Gandhi Post Graduate Institute of Medical Sciences (SGPGIMS), Lucknow, India.

Department of Radiodiagnosis, Sanjay Gandhi Post Graduate Institute of Medical Sciences (SGPGIMS), Lucknow, India.

出版信息

J Neonatal Surg. 2017 Apr 15;6(2):31. doi: 10.21699/jns.v6i2.493. eCollection 2017 Apr-Jun.

DOI:10.21699/jns.v6i2.493
PMID:28770128
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5538597/
Abstract

Adrenal hemorrhage is not uncommon in neonates but the development of an adrenal abscess is extremely rare. Bilateral adrenal abscess is even rarer with less than ten cases documented in the medical literature. It may have a fatal outcome if inadequately treated. Here, we present two cases of neonates with history of obstructed labour and meconium aspiration who presented with bilateral adrenal abscesses. The abscesses were successfully treated using ultrasound-guided percutaneous drainage along with administration of appropriate intravenous antibiotics.

摘要

肾上腺出血在新生儿中并不少见，但肾上腺脓肿的发生极为罕见。双侧肾上腺脓肿更为罕见，医学文献中记载的病例不到十例。如果治疗不当，可能会导致致命后果。在此，我们报告两例有产程梗阻和胎粪吸入史的新生儿，他们均出现双侧肾上腺脓肿。通过超声引导下经皮引流并给予适当的静脉抗生素治疗，脓肿得到了成功治疗。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c05d/5538597/71647f465883/JNS-6-31_F2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c05d/5538597/0b31a7c74493/JNS-6-31_F1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c05d/5538597/71647f465883/JNS-6-31_F2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c05d/5538597/0b31a7c74493/JNS-6-31_F1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c05d/5538597/71647f465883/JNS-6-31_F2.jpg

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本文引用的文献

1
Nonsurgical management of bilateral adrenal abscess in newborn with therapeutic aspiration under ultrasonographic guidance.超声引导下治疗性穿刺抽吸术对新生儿双侧肾上腺脓肿的非手术治疗
Indian J Urol. 2012 Oct;28(4):453-5. doi: 10.4103/0970-1591.105779.
2
Bilateral adrenal abscesses as a complication of neonatal suprarenal hemorrhage.双侧肾上腺脓肿作为新生儿肾上腺出血的一种并发症。
Pediatr Int. 2010 Aug;52(4):e207-8. doi: 10.1111/j.1442-200X.2010.03134.x.
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Bilateral adrenal abscess in a neonate.新生儿双侧肾上腺脓肿
Indian J Pediatr. 2005 Feb;72(2):169-71. doi: 10.1007/BF02760704.
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Bilateral neonatal adrenal abscess. Report of two cases and review of the literature.
Pediatr Med Chir. 2003 May-Jun;25(3):185-9.
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Neonatal adrenal abscesses.
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Adrenal abscess in the neonate.新生儿肾上腺脓肿
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Nonsurgical management of neonatal adrenal abscess.新生儿肾上腺脓肿的非手术治疗
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