在早产婴儿的早期和复发性贫血是新生儿尾炎的危险因素吗?
Jorge L Alvarado Socarras1, Delia E Theurel Martín, Beatriz H Franco Mateus
1Author Affiliations: Fundación Cardiovascular de Colombia, Bucaramanga, Santander, Colombia (Alvarado Socarras, Theurel Martín, and Mr Parra Reyes); Universidad de Santander, Bucaramanga, Santander, Colombia (Dr Franco Mateus); and Fundación Valle de Lili, Cali, Valle del Cauca, Colombia (Dr Medina Medina).
概括
新生儿尾炎 (NA) 是一种罕见的疾病,经常被误诊为死角性肠球炎 (NEC),需要高度的怀疑指数. 这一案例凸显了贫血在早产婴儿中NA和NEC的发展中的潜在作用.
科学领域:
- 儿科手术 儿科手术
- 新生儿医学 新生儿医学
- 胃肠病学 胃肠病学
背景情况:
- 新生儿尾炎 (NA) 是一种罕见的疾病 (发病率为0.04%-0.2%),在早产男性中更为常见,死亡率高 (20%-25%).
- 由于诊断方面的挑战,NA经常被误诊为新生儿死性肠球炎 (NEC).
- 肠道血液供应受损 (例如,由于输液不良,缺氧,贫血) 是肠道损伤的危险因素和NA的潜在原因.
研究的目的:
- 报告一个早产婴儿的病例,该婴儿有反复的腹部张张和被诊断为NA的贫血.
- 强调早期承认NA的重要性.
- 探索贫血在NA和NEC病理生理学中的潜在作用.
主要方法:
- 一个早产婴儿的案例报告.
- 尾切除术后的病理检查证实了NA的诊断.
- 探索性腹腔切除术和尾切除术用于穿孔尾炎的次要急性腹部.
主要成果:
- 患者出现了复发的腹部张张和持续的贫血.
- 手术干预导致症状消失,并实现了完全的肠道营养.
- 排除了其他疾病,包括赫斯普朗氏病.
结论:
- 早期诊断的NA需要一个高的怀疑指数.
- 贫血可能会显著导致肠道损伤,增加NA和NEC的风险.
- 需要进一步研究贫血与肠道损伤的联系及其神经发育影响.
相关概念视频
Appendicitis-I: Introduction
94
The appendix, a small, narrow, blind tube extending from the inferior part of the cecum, is widely regarded as a vestigial organ, having lost much of its original function through evolution. Despite its diminished role, the appendix can become inflamed, a condition known as appendicitis.
Etiology: Appendicitis can arise from various causes, primarily rooted in the obstruction of the appendix lumen. Factors contributing to this obstruction include fecal accumulation, lymphoid hyperplasia and, in...
Etiology: Appendicitis can arise from various causes, primarily rooted in the obstruction of the appendix lumen. Factors contributing to this obstruction include fecal accumulation, lymphoid hyperplasia and, in...
94
Appendicitis-II: Diagnostic Studies and Management
69
Diagnosing and managing appendicitis requires a structured and comprehensive approach that spans from initial assessment to postoperative care. Here is an overview of the process:
Diagnosing Appendicitis
It requires a multifaceted approach, starting with a detailed physical examination to pinpoint the location and nature of the pain and identify any associated symptoms. Laboratory tests play a crucial role. A complete Blood Count (CBC) typically reveals leukocytosis (an increased number of...
Diagnosing Appendicitis
It requires a multifaceted approach, starting with a detailed physical examination to pinpoint the location and nature of the pain and identify any associated symptoms. Laboratory tests play a crucial role. A complete Blood Count (CBC) typically reveals leukocytosis (an increased number of...
69
Inflammatory Bowel Disease I: Ulcerative Colitis
153
Introduction
Inflammatory bowel disease, or IBD, encompasses a group of disorders characterized by chronic inflammation or ulceration of the gastrointestinal tract.
Risk Factors
The exact cause of IBD remains unclear, although it is believed to be due to a mix of genetic, environmental, microbial, and immune factors. Genetic factors are significant in determining susceptibility to IBD, with family history being a critical risk factor. Individuals with a first-degree relative who has IBD are at...
Inflammatory bowel disease, or IBD, encompasses a group of disorders characterized by chronic inflammation or ulceration of the gastrointestinal tract.
Risk Factors
The exact cause of IBD remains unclear, although it is believed to be due to a mix of genetic, environmental, microbial, and immune factors. Genetic factors are significant in determining susceptibility to IBD, with family history being a critical risk factor. Individuals with a first-degree relative who has IBD are at...
153
Development of Immunocompetence
294
The initiation of cell-mediated immunity can be observed as early as the third month of fetal growth, with active antibody-mediated immunity following approximately one month later.
The initial cells that migrate from the fetal thymus settle within the skin and epithelial tissues lining the mouth, digestive tract, and in females, the uterus and vagina. These cells, including skin-based dendritic cells, serve as antigen-presenting cells, playing a key role in T cell activation.
Subsequent T...
The initial cells that migrate from the fetal thymus settle within the skin and epithelial tissues lining the mouth, digestive tract, and in females, the uterus and vagina. These cells, including skin-based dendritic cells, serve as antigen-presenting cells, playing a key role in T cell activation.
Subsequent T...
294
Inflammatory Bowel Disease II: Crohn's Disease
201
Introduction
Inflammatory bowel disease, commonly known as IBD, refers to a collection of disorders that lead to persistent inflammation of the gastrointestinal tract. The two types of IBD are ulcerative colitis, which impacts the colon, and Crohn's disease, which can involve any part of the gastrointestinal segment.
Crohn's disease
Crohn's disease is a chronic, systemic inflammatory bowel disease (IBD) that predominantly affects the gastrointestinal tract. It is marked by...
Inflammatory bowel disease, commonly known as IBD, refers to a collection of disorders that lead to persistent inflammation of the gastrointestinal tract. The two types of IBD are ulcerative colitis, which impacts the colon, and Crohn's disease, which can involve any part of the gastrointestinal segment.
Crohn's disease
Crohn's disease is a chronic, systemic inflammatory bowel disease (IBD) that predominantly affects the gastrointestinal tract. It is marked by...
201


