Marty T L, Matlak M E, Hendrickson M, Black R E, Johnson D G
Department of Surgery, University of Utah, Salt Lake City 84113-1100, USA.
Pediatrics. 1995 Jul;96(1 Pt 1):118-21.
Unanticipated death from enterocolitis occurred in five children 3 weeks to 20 months after uncomplicated reconstruction for Hirschsprung's disease. In each case the presenting symptoms of enterocolitis were mild and were misinterpreted by examining physicians. Within 2 to 12 days of onset of symptoms, unexpected death occurred. Although fatal enterocolitis is a well-known complication of Hirschsprung's disease, emphasis is usually placed on preoperative enterocolitis. Fatal postoperative enterocolitis is not a new entity associated with Hirschsprung's disease, but physician awareness of this possibility is obviously deficient. We strongly recommend extensive parent education and better postoperative communication between the surgeon and the referring physician.
5名儿童在接受先天性巨结肠症的简单重建手术后3周龄至20个月龄时，因小肠结肠炎意外死亡。在每例病例中，小肠结肠炎的初始症状都很轻微，被检查医生误诊。症状出现后的2至12天内，发生了意外死亡。虽然致命性小肠结肠炎是先天性巨结肠症的一种众所周知的并发症，但通常重点关注术前小肠结肠炎。术后致命性小肠结肠炎并非与先天性巨结肠症相关的新情况，但医生对这种可能性的认识显然不足。我们强烈建议对家长进行广泛教育，并改善外科医生与转诊医生之间术后的沟通。
