由于慢性功能性便秘而导致的儿童腹腔综合征的紧急腹腔切除术
Konstantinos Velaoras1, George Pantalos1, Christos Plataras1
1Department of Pediatric Surgery, Penteli Children's Hospital, Athens, Greece.
Case reports in pediatrics
|June 20, 2025
概括
本案例研究详细介绍了患有慢性功能性便秘 (FC) 的儿童患有腹腔综合征 (ACS) 的罕见病例. 迅速的手术干预对康复至关重要.
科学领域:
- 儿科手术 儿科手术
- 儿科胃肠病学 儿科胃肠病学
- 儿科重症监护 儿科重症监护
背景情况:
- 功能性便秘 (FC) 在儿童中很常见,生活中的压力事件被确定为危险因素.
- 腹腔综合征 (ACS) 是一个严重的病情,在儿科患者中具有显著的发病率和死亡率.
研究的目的:
- 报告一个罕见的儿科病人的病例,该病患患有慢性FC的次要ACS.
- 突出儿童未经治疗的慢性FC的潜在严重后果.
- 强调在儿童腹部张张的差异诊断中考虑FC的重要性.
主要方法:
- 一个13岁的男性患有慢性FC的案例报告.
- 临床检查,生命体征和计算机断层扫描 (CT) 扫描.
- 腹腔内压力 (IAP) 的静脉内测量用于ACS诊断.
- 紧急减压腹腔切除术 (DL) 与肠切除.
主要成果:
- 该患者出现了严重的慢性FC,腹部张张,高血压和发作.
- 脑电图扫描显示了大量的直腰肌肠扩张.
- 通过升高的IAP证实了ACS,导致DL.
- 在手术减压后观察到术后改善.
结论:
- 慢性FC,特别是当由心理社会压力因素 (如父母分居) 引发时,很少会导致儿童患上ACS.
- 在这种情况下,及时诊断和手术干预对于管理ACS至关重要.
- 这一案例强调了对患有严重腹部症状的儿科患者进行全面评估的必要性.
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