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三体综合征 13,家庭医疗保健和多学科方法:病例报告。

Trisomy 13, home health-care and multidisciplinary approach: Case report.

机构信息

Faculdade Ciências Médicas de Minas Gerais, Post-Graduate Program in Health Sciences, Belo Horizonte, MG, Brazil.

Instituto de Previdência dos Servidores do Estado de Minas Gerais, Belo Horizonte, MG, Brazil.

出版信息

Rev Paul Pediatr. 2024 Oct 4;43:e2024018. doi: 10.1590/1984-0462/2025/43/2024018. eCollection 2024.

Abstract

OBJECTIVE

To recognize and address Patau's syndrome, despite its rarity and associated low life expectancy, through the presentation of a case study of a 2-year-old patient receiving Home Care services.

CASE DESCRIPTION

We present a female patient who defied the odds with a prolonged survival, possible due to Home Care. She was delivered via cesarean section at 31 weeks + 4 days due to restricted uterine growth. The mother, aged 36, had received proper prenatal care and was in good health. The diagnosis of Patau's syndrome was confirmed through karyotyping after birth. Despite the severe clinical nature of the case, the patient, now with two years old, receives specialized home-based care, supported by a tracheostomy and gastrostomy. A dedicated 24-hour nursing technician ensures continuous monitoring, and the patient benefits from regular medical check-ups, physiotherapy five times a week, weekly speech therapy sessions, monthly consultations with a nutritionist, and ongoing psychological support for her family members.

COMMENTS

This multidisciplinary approach has resulted in a slight motor response, highlighting the positive impact of comprehensive care on her overall well-being. The existence of a robust support network for families facing similar challenges is crucial, and a multidisciplinary care can effectively prevent complications associated with this impactful syndrome.

摘要

目的

通过介绍一名接受家庭护理服务的 2 岁患者的病例研究,认识并处理帕陶氏综合征,尽管该疾病罕见且预期寿命较短。

病例描述

我们介绍了一名女性患者,她通过家庭护理获得了可能的延长生存,尽管 odds 不利。她因子宫生长受限,于 31 周+4 天通过剖腹产分娩。母亲 36 岁,接受了适当的产前护理,身体健康。出生后通过染色体核型分析确诊为帕陶氏综合征。尽管该病例的临床情况严重,但患者现在已经 2 岁,接受了专门的家庭护理,辅以气管造口术和胃造口术。一名专门的 24 小时护理技师确保持续监测,患者还受益于定期体检、每周 5 次物理治疗、每周言语治疗、每月与营养师咨询、以及为其家庭成员提供持续的心理支持。

评论

这种多学科方法导致了轻微的运动反应,突出了全面护理对她整体健康的积极影响。对于面临类似挑战的家庭来说,建立一个强大的支持网络至关重要,多学科护理可以有效地预防与这种影响深远的综合征相关的并发症。

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Pediatr Rev. 2023 Jan 1;44(1):53-54. doi: 10.1542/pir.2022-005517.
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Nutritional challenges in children and adolescents with Down syndrome.唐氏综合征儿童和青少年的营养挑战。
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