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新生儿腹部外科急症。

Abdominal Surgical Emergencies in Neonates.

机构信息

Division of General, Thoracic, and Fetal Surgery, University of Pennsylvania School of Medicine, Philadelphia, PA.

Children's Hospital of Philadelphia, Philadelphia, PA.

出版信息

Neoreviews. 2023 Feb 1;24(2):e97-e106. doi: 10.1542/neo.24-2-e97.

Abstract

Abdominal surgical emergencies are relatively common in neonates. Some of them are related to congenital diseases such as intestinal atresia and intestinal malrotation, whereas some are entirely postnatal conditions such as necrotizing enterocolitis and gastric perforation. While there is a wide range of clinical severity for these conditions, outcomes are most favorable with prompt identification and expeditious treatment. In this review, we describe the most common neonatal abdominal surgical emergencies, highlight the signs that can help with early detection, and explain the approach to diagnosis and management.

摘要

新生儿的腹部外科急症较为常见。其中一些与先天性疾病有关,如肠闭锁和肠旋转不良,而另一些则完全是后天的情况,如坏死性小肠结肠炎和胃穿孔。虽然这些疾病的临床严重程度差异很大,但如果能及时发现并迅速治疗,结果通常是最有利的。在这篇综述中,我们描述了最常见的新生儿腹部外科急症,强调了有助于早期发现的体征,并解释了诊断和治疗方法。

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