Callanan Deborah, Phillips Timothy, Tullous Micam
Pediatric Emergency Medicine, Baylor College of Medicine and Children's Hospital of San Antonio, San Antonio, TX, USA.
Pediatric Urology, San Antonio Military Medical Center and Children's Hospital of San Antonio, San Antonio, TX, USA.
SAGE Open Med Case Rep. 2017 Dec 11;5:2050313X17744986. doi: 10.1177/2050313X17744986. eCollection 2017.
As the number of medically complex children increases, pediatricians and emergency physicians face challenges in evaluating complications from devices placed to treat their underlying conditions. We present a child with spina bifida who developed a perforation of his vesicostomy leading to peritonitis, septic shock, and urgent externalization of his ventriculoperitoneal shunt. Multiple consultants may need to be promptly involved in the management of children with underlying medical problems. Because procedural complications are often reported only in the surgical specialty literature, pediatricians and emergency physicians should seek information from their patients' specialists about potential problems.
随着患有复杂疾病儿童数量的增加，儿科医生和急诊医生在评估用于治疗其基础疾病的装置所引发的并发症时面临挑战。我们报告一名患有脊柱裂的儿童，其膀胱造瘘口发生穿孔，导致腹膜炎、感染性休克，以及脑室腹腔分流管紧急外置。对于患有基础疾病的儿童，可能需要迅速召集多名会诊医生参与管理。由于程序性并发症往往仅在外科专业文献中报道，儿科医生和急诊医生应向患者的专科医生了解潜在问题。
