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坏死性小肠结肠炎后肠梗阻(作者译)

[Intestinal obstruction following necrotizing enterocolitis (author's transl)].

作者信息

Frisch H, Guggenbichler J, Menardi G, Höpfel-Kreiner I

出版信息

Klin Padiatr. 1979 Nov;191(6):594-601.

PMID:574594
Abstract

The increase in survival from necrotizing enterocolitis results in an increased rate of late sequelae. We would like to take the opportunity to emphasize these new complications by a review of our patient material. 11 (23.9%) patients from a total number of 46 showed signs and symptoms of intestinal obstruction at different points in the course of the disease. In two surviving patients out of this group of 11, a resection of postinflammatory gut stenosis had to be performed within the first year. In the 9 children who died, particular emphasis is being paid in the autopsy reports to obstructive lesions in the gastrointestinal tract. Due to this rather frequent event (23.9%) of postinflammatory formation of strictures and stenoses in the recovery from NEC a functional radiographic study of the intestinal patency seems mandatory before discharge of any patient with NEC with operative or conservative treatment.

摘要

坏死性小肠结肠炎存活率的提高导致后期后遗症发生率上升。我们想借此机会通过回顾我们的患者资料来强调这些新出现的并发症。46例患者中有11例(23.9%)在疾病过程中的不同时间点出现肠梗阻的体征和症状。在这11例存活患者中的2例,在第一年不得不进行了炎症后肠道狭窄切除术。在9例死亡儿童中,尸检报告特别强调了胃肠道的梗阻性病变。由于坏死性小肠结肠炎恢复过程中炎症后形成狭窄相当常见(23.9%),对于任何接受手术或保守治疗的坏死性小肠结肠炎患者,在出院前进行肠道通畅的功能性影像学检查似乎是必要的。

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