Denavit M F, Guerin J, Caldera R, Rossier A
Sem Hop. 1979;55(1112):613-7.
A new-born baby was found to have a duodenal ulcer after developing a severe hematemesis 24 hours after birth. The diagnosis was established by fibroscopic examination, which was also used to follow progress in this case, in which operation for a secondary hypertrophic stenosis of the pylorus led to a favourable outcome. The role of "stress" and, more particularly, gastric hyperacidity in the neonatal period are discussed. Once the critical period is passed, during which hemorrhage and perforation are the cause of the high mortality, recovery is complete.
一名新生儿在出生后24小时出现严重呕血,随后被发现患有十二指肠溃疡。通过纤维镜检查确诊,该检查也用于跟踪此病例的进展,在此病例中,针对继发性幽门肥厚性狭窄进行的手术取得了良好效果。文中讨论了“应激”,尤其是新生儿期胃酸过多的作用。一旦度过出血和穿孔导致高死亡率的关键时期,即可完全康复。