在儿童中同步的脏和脑内
Jideofor Okechukwu Ugwu1, Adaobi Chiazor Emegoakor2, Sylvester Okwuchukwu Obiechina1
1Department of Surgery, Paedaitric Surgery Unit, Nnamdi Azikiwe University Teaching Hospital, Nnewi, Anambra State, Nigeria.
African journal of paediatric surgery : AJPS
|August 20, 2024
概括
一个11岁男孩罕见的腹导致脑. 成功的治疗包括脊髓切除术和抗生素,突出显示了免疫能力不足的儿童需要保持警.
科学领域:
- 儿童传染病 儿童传染病
- 神经学 神经学
- 手术病例报告 手术病例报告
背景情况:
- 腹是一种罕见的,危及儿童生命的疾病,通常与免疫缺陷有关.
- 与腹并发的脑内是非常罕见的,以前只报告过一个成年人的病例.
- 这个案子涉及一个显然具有免疫能力的孩子,挑战了典型的病因学假设.
研究的目的:
- 报告一个罕见的脊髓瘤与儿童同时发生的脑内瘤的病例.
- 强调在免疫能力较强的儿童出现非特异性症状时考虑腹的重要性.
- 为了解如何管理这种罕见的儿科疾病做出贡献.
主要方法:
- 诊断通过腹部和骨的超声波和CT扫描得到证实.
- 最初的治疗包括通过皮肤进行超声波引导的脏的排水.
- 随后的治疗包括脊髓切除术和积极的抗生素治疗.
主要成果:
- 穿皮疏通是不成功的,需要脊髓切除术.
- 患者经过脊髓切除术和抗生素显著改善,包括大脑的解决.
- 在治疗后神经缺陷 (左半,右侧) 得到解决.
结论:
- 脊髓腹与脑内腹是儿童罕见但危急的疾病.
- 增加的临床怀疑是正当的,即使在免疫能力较强的儿童.
- 有效的管理包括液排水 (手术或皮肤通道) 和向的抗菌疗法.
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