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[一名6岁儿童的2处非特异性盲肠溃疡作为肠道出血的原因]

[2 nonspecific cecal ulcers in a 6-year-old child as a cause of intestinal hemorrhage].

作者信息

Varney M, Schmidt P, Reckmann M

出版信息

Z Kinderchir. 1987 Feb;42(1):52-4. doi: 10.1055/s-2008-1075555.

Abstract

This is a report on recurrent rectal bleedings in a 6-year-old boy caused by 2 non-specific ulcers of the caecum. These ulcers are extremely rare in childhood and their aetiology is unknown. In this case the causative factor was supposed to be a preliminary cortisone therapy. The diagnosis of these ulcers is quite difficult because of the absence of any specific symptoms. X-ray and endoscopy of the colon often fail to give reliable results. Usually the diagnosis can be obtained only by laparotomy and histology. In therapy hemicolectomy is suggested to prevent perforation as the most usual complication. During conservative treatment coloscopic findings have to be controlled constantly.

摘要

这是一份关于一名6岁男孩反复直肠出血的报告,病因是盲肠的2处非特异性溃疡。这些溃疡在儿童时期极为罕见,其病因尚不清楚。在该病例中,致病因素被认为是初步的皮质激素治疗。由于缺乏任何特异性症状,这些溃疡的诊断相当困难。结肠的X线检查和内镜检查常常无法给出可靠结果。通常只有通过剖腹手术和组织学检查才能确诊。在治疗方面,建议进行半结肠切除术以预防最常见的并发症——穿孔。在保守治疗期间,必须持续监测结肠镜检查结果。

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