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复发性坏死性小肠结肠炎伴室上性心动过速发作

Recurrent necrotizing enterocolitis associated with episodes of supraventricular tachycardia.

作者信息

Hajivassiliou C A, Pitkin J

机构信息

Department of Paediatric Surgery, The New Children's Hospital, Sydney, NSW, Australia.

出版信息

J Pediatr Surg. 1998 Oct;33(10):1569-70. doi: 10.1016/s0022-3468(98)90502-4.

Abstract

The case of a 5-month-old baby with congenital heart disease and recurrent episodes of refractory supraventricular tachycardia (SVT) is presented. Severe segmental necrotizing enterocolitis (NEC) developed in the patient after one prolonged episode of SVT that required a limited right hemicolectomy. Further episodes of SVT were associated with recurrence of NEC requiring multiple laparotomies. The pathogenesis and therapeutic implications of this process are discussed in view of the potentially multiple pathological processes involved.

摘要

本文介绍了一名5个月大患有先天性心脏病且反复出现难治性室上性心动过速(SVT)的婴儿病例。在一次持续时间较长的SVT发作后,该患者出现了严重的节段性坏死性小肠结肠炎(NEC),需要进行有限的右半结肠切除术。进一步的SVT发作与NEC复发相关,需要多次剖腹手术。鉴于可能涉及多种病理过程,本文讨论了这一过程的发病机制和治疗意义。

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