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一名新型冠状病毒检测呈阳性的新生儿的梅克尔憩室穿孔

Meckel's diverticulum perforation in a newborn positive to Sars-Cov-2.

作者信息

Bindi E, Cruccetti A, Ilari M, Mariscoli F, Carnielli V P, Simonini A, Cobellis G

机构信息

Pediatric Surgical Unit, Salesi Children's Hospital, Ancona, Italy.

Neonatology Unit, Salesi Children's Hospital, Ancona, Italy.

出版信息

J Pediatr Surg Case Rep. 2020 Nov;62:101641. doi: 10.1016/j.epsc.2020.101641. Epub 2020 Aug 29.

DOI:10.1016/j.epsc.2020.101641
PMID:32904556
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7456189/
Abstract

The health emergency linked to the Sars-Cov-2 infection represented an absolutely new problem for all health professionals. In particular, the information regarding the spread of the virus in the pediatric field and its manifestations are still incomplete. In this paper we present a case of neonatal infection which, as far as we know, represents one of the few published cases and which occurred in a patient who came to our attention for acute abdomen from intestinal perforation. The perforation was caused by Meckel's diverticulum, an event considered infrequent in the first year of life and almost exceptional in the neonatal period. This case required particular management, putting pediatric surgeons in front of new and difficult to solve problems. New onset clinical events, such as this one described, represent an opportunity for sharing useful data for the creation of universal protocols for the management of patients with problems that are becoming common and of which little is known.

摘要

与Sars-Cov-2感染相关的健康紧急情况对所有医护人员来说都是一个全新的问题。特别是,关于该病毒在儿科领域传播及其表现的信息仍然不完整。在本文中,我们介绍了一例新生儿感染病例,据我们所知,这是为数不多的已发表病例之一,该病例发生在一名因肠穿孔导致急腹症而引起我们注意的患者身上。穿孔是由梅克尔憩室引起的,这一情况在生命的第一年被认为不常见,在新生儿期几乎是罕见的。该病例需要特殊的处理,使小儿外科医生面临新的且难以解决的问题。像这样新出现的临床事件,为分享有用数据提供了机会,以便创建针对处理越来越常见但却知之甚少的问题的患者的通用方案。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9bb9/7456189/0e88dcfc75b6/gr1_lrg.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9bb9/7456189/0e88dcfc75b6/gr1_lrg.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9bb9/7456189/0e88dcfc75b6/gr1_lrg.jpg

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[First case of neonate with COVID-19 in China].[中国首例新冠病毒感染新生儿病例]
Zhonghua Er Ke Za Zhi. 2020 Apr 2;58(4):279-280. doi: 10.3760/cma.j.cn112140-20200212-00081.
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Novel coronavirus in a 15-day-old neonate with clinical signs of sepsis, a case report.15 天大的新生儿出现败血症临床症状的新型冠状病毒感染:病例报告
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Neonatal Early-Onset Infection With SARS-CoV-2 in 33 Neonates Born to Mothers With COVID-19 in Wuhan, China.
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Traumatic jejunal perforation associated with SARS-CoV-2 (COVID-19) infection.与严重急性呼吸综合征冠状病毒2(SARS-CoV-2,即新型冠状病毒肺炎(COVID-19))感染相关的创伤性空肠穿孔
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中国武汉 33 例感染新冠病毒的 COVID-19 产妇所生新生儿的早发性新生儿感染。
JAMA Pediatr. 2020 Jul 1;174(7):722-725. doi: 10.1001/jamapediatrics.2020.0878.
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SARS-CoV-2 Infection in Children.儿童感染新型冠状病毒2型
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[Facing the pandemic of 2019 novel coronavirus infections: the pediatric perspectives].[面对2019新型冠状病毒感染的大流行:儿科视角]
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