腹腔疾病和腹腔内:儿童的常见关联
Anwaar Aldaher1, Mariam Mahmoud Alali2, Nouri Ourfali3
1From the Division of Pediatric Gastroenterology, Children's Specialized Hospital, King Fahad Medical City, Riyadh, Saudi Arabia.
Pediatric emergency care
|December 12, 2023
概括
在儿童中,腹腔内可能有次要原因,如腹腔疾病,这通常被忽视. 调查患有肠和特定症状的儿童的乳病,可以防止不必要的手术.
科学领域:
- 儿科胃肠病学 儿科胃肠病学
- 腹部成像 腹部成像 腹部成像
- 手术儿科手术小儿科
背景情况:
- 肠道内肠阻塞 (IS) 是幼儿小肠阻塞的常见原因之一.
- 虽然乳病 (CD) 是已知的成年人IS的原因,但它与儿童的关联是不太认可的.
- 沙特儿童的IS原因和结果的数据有限.
研究的目的:
- 在沙特儿童中描述IS的模式.
- 确定患有CD的儿童中IS的频率,临床表现和结果.
主要方法:
- 通过腹部成像 (2008-2019) 诊断的57例儿科IS病例 (0-14岁) 的回顾性审查.
- 对人口统计,临床,实验室,成像,管理和结果数据的分析.
- 确定二次IS的根本原因.
主要成果:
- 二次性IS在33.3%的病例中被发现,高于文献中报告的5-10%.
- 在6例病例中 (占IS病例总数的10.5%) 中,乳病是确定的原因.
- 低albuminemia和腹部张张显著与二次IS相关.
结论:
- 二次性原因,包括乳病,占沙特儿童IS的很大一部分.
- 乳病是儿童IS的一个未被认可的原因.
- 患有IS,低albuminemia,贫血或慢性腹的儿童应对CD进行评估,以指导适当的管理并可能避免手术.
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