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[婴儿顽固性腹泻。84例病例回顾]

[Obstinate diarrhea in infants. A review of 84 cases].

作者信息

Ricour C, Navarro J, Frederich A, Ghisolfi J, Rieu D, Duhamel J F

出版信息

Arch Fr Pediatr. 1977 Nov;34(9):844-59.

PMID:415698
Abstract

Eighty-four cases of obstinate severe diarrhoea in infants are reported. Criteria for clinical and biological severity are precised. Histological examination of the small bowel was performed in 57 cases; a total atrophy of intestinal villi was found in only 33% of the cases during the first 3 months. Exclusive parenteral feeding, from the beginning or after failure of enteral feeding was given to 71 infants. Later on, enteral renutrition at constant flow, was administered, after simple preparation, in most cases. Seventeen died out of 84 infants, 7 of them within 2 weeks. For the others, the average time for recovery was 4 months. The conditions of prevention of obstinate severe diarrhoea in infancy are emphasized.

摘要

报告了84例婴儿顽固性严重腹泻病例。明确了临床和生物学严重程度的标准。对57例进行了小肠组织学检查;在前3个月中,仅33%的病例发现肠绒毛完全萎缩。71例婴儿从一开始或在肠内喂养失败后接受了完全肠外营养。之后,在大多数情况下,经过简单准备后给予持续肠内再营养。84例婴儿中有17例死亡,其中7例在2周内死亡。其余婴儿的平均恢复时间为4个月。强调了婴儿期顽固性严重腹泻的预防条件。

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