胎粪性腹膜炎的产前诊断与处理：一例病例报告及文献复习

Antenatal diagnosis and management of meconium peritonitis: a case report and review of the literature.

作者信息

Konje J C, de Chazal R, MacFadyen U, Taylor D J

机构信息

Department of Obstetrics and Gynaecology, University of Leicester Medical School, UK.

出版信息

Ultrasound Obstet Gynecol. 1995 Jul;6(1):66-9. doi: 10.1046/j.1469-0705.1995.06010066.x.

DOI:10.1046/j.1469-0705.1995.06010066.x

PMID:8528807

Abstract

We present a case of meconium peritonitis which was associated with a short bowel and complicated by progressive bowel distension and difficulty in making a definitive diagnosis of cystic fibrosis. Treatment was by bowel resection and an ileostomy (and later bowel anastomosis), followed by parenteral nutrition which was complicated by hepatitis. The literature is reviewed and management dilemmas and options are discussed.

摘要

我们报告一例胎粪性腹膜炎病例，该病例合并短肠，并伴有进行性肠扩张，且难以明确诊断囊性纤维化。治疗方法为肠切除及回肠造口术（随后进行肠吻合术），之后进行肠外营养，但出现了肝炎并发症。本文对相关文献进行了综述，并讨论了管理中的困境及选择。