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先天性氯性腹泻的产前诊断:病例报告。

Prenatal diagnosis of congenital chloride diarrhea: A case report.

机构信息

Department of Radiology, Wen Zhou Central Hospital, Zhe Jiang, Wen Zhou, China.

出版信息

Arch Argent Pediatr. 2024 Jun 1;122(3):e202310167. doi: 10.5546/aap.2023-10167.eng. Epub 2023 Dec 7.

Abstract

Congenital chloride diarrhea (CCD) is a rare but significant genetic disorder characterized by severe electrolyte imbalances resulting from impaired intestinal chloride absorption. Affected children experience persistent diarrhea, dehydration, and malnutrition, complicating medical and developmental care. The enhancement of prenatal detection is crucial for improved patient management, early interventions, and informed genetic counseling. However, despite advancements in medicine, the complex nature and rarity of CCD make prenatal detection challenging. In this study, we report a fetal case where prenatal magnetic resonance imaging (MRI) effectively identified the distinctive characteristics of CCD, providing insights into the complexities of diagnosis and suggesting avenues for enhanced early detection strategies.

摘要

先天性氯性腹泻(CCD)是一种罕见但严重的遗传性疾病,其特征是肠道氯离子吸收受损导致严重的电解质失衡。受影响的儿童会出现持续性腹泻、脱水和营养不良,从而使医疗和发育护理变得复杂。提高产前检测的水平对于改善患者管理、早期干预和知情遗传咨询至关重要。然而,尽管医学取得了进步,但 CCD 的复杂性和罕见性使得产前检测具有挑战性。在本研究中,我们报告了一个胎儿病例,产前磁共振成像(MRI)有效地识别出 CCD 的独特特征,深入了解了诊断的复杂性,并提出了增强早期检测策略的途径。

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