在4.6公斤婴儿的儿科腹腔综合征
Audrey Therese Bowen1, Teerin Meckmongkol2
1Emergency Department, Nemours Children's Health, Orlando, Florida, USA audrey.bowen@nemours.org.
BMJ case reports
|September 10, 2024
概括
本案例研究讨论了患有肠道缩病史的婴儿的儿科腹腔综合征 (ACS). 及时识别和管理ACS对于减少婴儿发病率和死亡率至关重要.
科学领域:
- 儿科手术 儿科手术
- 关键护理医学 关键护理医学
- 新生儿科学 新生儿科学
背景情况:
- 婴儿有肠道形 IV 类型的病史,在出生时得到修复,呈现出复发性腹部张张.
- 由于配方奶粉不耐受而导致的腹部膨胀,之前入院.
研究的目的:
- 在婴儿中呈现儿科腹部部位综合征 (ACS) 的病例,此前有肠道缩修复.
- 强调ACS及时诊断和管理对于减少婴儿死亡率和发病率至关重要.
主要方法:
- 病例报告详细说明了 ACS.新生儿的临床表现,诊断工作和管理.
- 包括成像,实验室检查,血液和尿液培养,以及外科咨询.
- 治疗包括鼻胃管安置,静脉注射液体,抗生素,输管,压力器和外科减压.
主要成果:
- 婴儿出现了反复出现的腹部膨胀,低温和呼吸困扰.
- 临床恶化需要重症监护室的入院,输管和压力支持.
- ACS的发展需要手术减压,随后需要在特殊的养支持下长时间住院.
结论:
- 及时识别儿科ACS的风险因素和症状至关重要.
- 有效的ACS管理策略可以显著减少婴儿的不良结果.
- 这一案例强调了需要提高儿童高风险患者对ACS的认识和准备.
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