一个6个月大的婴儿的COVID-19相关的多重结肠穿孔:一个罕见的病例报告
Ali Manafi Anari1, Ladan Teymoorzadeh1, Ramez Nasiri2
1Department of Pediatrics, School of Medicine, Hazrat-e Ali Asghar Children's Hospital, Iran University of Medical Sciences, Tehran, Iran.
BMC pediatrics
|July 10, 2025
概括
严重急性呼吸道综合征冠状病毒2 (SARS-CoV-2) 可能导致婴儿的肠道穿孔. 这种罕见的胃肠道并发症需要对受影响的婴儿进行及时的手术干预.
科学领域:
- 儿科胃肠病学 儿科胃肠病学
- 传染性疾病 传染性疾病
- 手术新生儿科手术新生儿科
背景情况:
- COVID-19通常呈现为呼吸系统疾病.
- 胃肠道并发症,如大肠炎和穿孔,在婴儿中很罕见,但在成年人中得到了记录.
- 患有严重胃肠道问题的COVID-19婴儿呈现非常罕见.
研究的目的:
- 报告由于COVID-19而导致婴儿肠道穿孔的罕见病例.
- 突出SARS-CoV-2与新生儿严重胃肠道损伤之间的潜在联系.
- 强调在这种关键病例中需要早期的外科治疗.
主要方法:
- 6个月大的婴儿患有败血症和随后的COVID-19诊断的案例报告.
- 临床表现包括昏迷,营养不良,吐和腹部膨胀.
- 诊断工作涉及成像和实验室测试,导致紧急腹腔切除和切除术.
主要成果:
- 这名婴儿的COVID-19检测结果呈阳性.
- 在手术期间的发现显示了横肠和下肠的穿孔.
- 组织病理学检查提供了将SARS-CoV-2与肠道损伤联系在一起的证据.
结论:
- SARS-CoV-2 可能导致缺血性或炎症性肠损伤,导致婴儿的肠道穿孔.
- 对于COVID-19相关肠道穿孔的婴儿,早期手术干预至关重要.
- 需要进一步的研究来阐明确切的病理生理学和建立因果关系.
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