儿童的海尔明斯肠道穿孔:我们的经验
Aniruddha D Bhagwat1, Rashmi Patil1, Apoorva Makan1
1Department of Pediatric Surgery, Dr. D.Y. Patil Medical College, Hospital and Research Centre, PCMC, affiliated to Dr. D.Y. Patil Vidyapeeth, Deemed to be University, Pune, 411018 MS India.
由阿斯卡里斯虫引起的肠道穿孔很罕见,但很严重. 早期诊断和治疗虫病至关重要,以预防并发症并改善儿童的治疗结果.
科学领域:
- 胃肠病学 胃肠病学
- 儿科手术 儿科手术
- 传染性疾病 传染性疾病
背景情况:
- 虫病是全球最常见的虫感染.
- 由于虫造成的肠道穿孔很少见,但可能导致严重的并发症.
- 来自特有地区的移民增加需要发达国家提高意识.
研究的目的:
- 要强调在肠道阻塞和穿孔的情况下考虑虫病的重要性.
- 报告阿斯卡里斯诱导肠道穿孔的儿童的临床表现,诊断方法和结果.
- 强调早期诊断和迅速治疗这种疾病的必要性.
主要方法:
- 对五名患有由于虫病引起的肠道穿孔的儿科患者的病例系列分析.
- 对临床表现,诊断成像 (例如,X射线,超声波,CT扫描) 和手术干预的审查.
- 对治疗策略和患者结果的分析.
主要成果:
- 五名儿童呈现了由于阿斯卡里斯感染的次要肠道穿孔.
- 临床表现各不相同,肠道阻塞是常见的特征.
- 所有病例都需要进行手术干预,报告说有成功的结果.
结论:
- 在肠道穿孔的差异诊断中应考虑虫病,特别是在来自或曾前往特有病区的儿童中.
- 及时诊断和手术管理对于有利的结果至关重要.
- 提高临床意识对于及时干预和减少发病率和死亡率至关重要.
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