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波特综合征(作者译)

[Potter-syndrome (author's transl)].

作者信息

Stechele U, Straub E

出版信息

Klin Padiatr. 1978 Mar;190(2):139-46.

PMID:565434
Abstract

Bilateral renal agenesis (or dysplasia without any functioning kidney tissue) is almost constantly associated with a characteristic facial appearance. Extra-uterine existence is limited to less than 24 hours because of severe hypoplasia of the lungs. This pulmonary anomaly, together with the eventual positional bowing of the legs and feet and hands and perhaps some features of the "Potter face" may be attributed to the oligohydramnios which is a regular observation, but certain other findings like the obligatory epicanthic fold, swinging outwards to form a most peculiar "prominent" semi-circle below the orbital space, the dysplasia and low slanted position of the ears, the predominance of the boys, and the very high frequency of additional malformations and even total defects of the internal organs (especially of the urogenital and intestinal tract) can hardly be explained as being secondary resp. consequent upon the "foetal compression", resulting from the amniotic fluid deficit (due to anuria). Ten children, including a case of hermaphroditismus verus, with the full-scale Potter syndrome have been seen in this clinic during a six years period and are described and discussed in detail.

摘要

双侧肾缺如(或发育异常且无任何功能性肾组织)几乎总是伴有特征性的面部外观。由于肺部严重发育不全,宫外存活时间限于不到24小时。这种肺部异常,连同最终出现的腿部、脚部和手部的姿势性弯曲以及可能的一些“波特面容”特征,可能归因于羊水过少,这是一种常见的观察结果,但某些其他发现,如必然出现的内眦赘皮,向外摆动形成眼眶下方一个非常奇特的“突出”半圆,耳朵发育异常和低位倾斜,男性占优势,以及额外畸形甚至内脏完全缺陷(尤其是泌尿生殖系统和肠道)的极高发生率,很难解释为继发于羊水过少(由于无尿导致)引起的“胎儿受压”。在六年期间,本诊所共诊治了10例包括真性两性畸形病例在内的全面波特综合征患儿,并对其进行了详细描述和讨论。

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