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中肠闭锁:来自坦桑尼亚北部的诊断与管理挑战

Midgut Atresia: Diagnostic and Management Challenges From Northern Tanzania.

作者信息

Lodhia Jay, Chipongo Hilary, Mathew Beatrice, Msuya David, Chugulu Samwel, Philemon Rune

机构信息

Department of General Surgery, Kilimanjaro Christian Medical Centre, Moshi, Tanzania.

Kilimanjaro Christian Medical University College, Faculty of Medicine, Moshi, Tanzania.

出版信息

Clin Med Insights Pediatr. 2022 Dec 17;16:11795565221142810. doi: 10.1177/11795565221142810. eCollection 2022.

Abstract

Intestinal obstruction is one of the most common surgical emergencies in the neonatal period. Early diagnosis is vital for proper management and good outcome. Intestinal obstruction can be divided into high, for example, duodenal atresia and jejunal atresia, or low, for example, ileal atresia, colonic atresia, and Meckel's diverticulum. The most common cause of intestinal obstruction in neonates is midgut atresia. Surgical correction is needed and is a challenge in the developing countries where there is lack of pediatric surgeons, anesthesiologists, and intensive care. More research and data is also needed across countries to show the uneven distribution of the available resources.

摘要

肠梗阻是新生儿期最常见的外科急症之一。早期诊断对于正确治疗和良好预后至关重要。肠梗阻可分为高位肠梗阻,例如十二指肠闭锁和空肠闭锁,或低位肠梗阻,例如回肠闭锁、结肠闭锁和梅克尔憩室。新生儿肠梗阻最常见的原因是中肠闭锁。需要进行手术矫正,而在缺乏小儿外科医生、麻醉师和重症监护的发展中国家,这是一项挑战。各国还需要更多的研究和数据来表明现有资源分配不均的情况。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2807/9761201/3c7d9f4cae3d/10.1177_11795565221142810-fig1.jpg

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