儿科骨髓切割:在的腹部创伤后发生的一种不寻常的损伤
Saud Aljadaan1, Rahaf Y Ardah2, Raseel A Alsubaie2
1Department of Pediatric General Surgery, King Abdullah Specialized Children's Hospital, Ministry of National Guard Health Affairs, Riyadh, Saudi Arabia.
The American journal of case reports
|September 6, 2024
概括
在儿童患者中,在重创伤后,隔离的甲状腺切口是极其罕见的. 及时诊断和手术管理对于这种严重的胃肠道损伤的良好结果至关重要.
科学领域:
- 儿科手术 儿科手术
- 创伤外科 手术 创伤外科
- 胃肠道手术 胃肠道手术
背景情况:
- 儿童患者由于不同的解剖学和生理学,具有独特的创伤机制.
- 儿童的腹腔内伤害可能涉及各种器官,包括罕见的孤立部位,如胆柱.
- 临床医生必须为儿科突击和穿透创伤的各种伤害模式做好准备.
研究的目的:
- 为了报告一例罕见的儿童患者由于重的创伤而发生的单独的甲状腺切割.
- 突出儿童胃肠道损伤的诊断和管理挑战.
- 强调及时干预对改善结果的重要性.
主要方法:
- 一个19个月大的男孩患有腹部创伤的病例报告.
- 诊断工作包括腹部计算机断层扫描 (CT) 和上胃肠道 (UGI) 对比研究.
- 手术管理涉及探索性腹腔切除术和胆囊切割的修复.
主要成果:
- 腹部CT显示肺,自由液体和炎症变化,表明空洞粘膜损伤.
- 探索性腹腔切除术证实了 pyloric 区域的完整切割;胰腺和胆管完好无损.
- 手术后的UGI研究显示,对比度没有泄漏,患者的康复程度不显著.
结论:
- 儿童群体中,来自重创伤的孤立的甲状腺损伤非常罕见,没有先前的病例报告.
- 创伤性胃肠道损伤,包括甲状腺干扰,携带高发病率和死亡率的风险.
- 准确的诊断和及时的治疗对于优化创伤性腹内伤害的儿科患者的治疗结果至关重要.
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