自发新生儿胃孔穿孔:一个案例报告
Abir Azirar1, Mohammed Ech-Chebab2, Anass Ayyad3
1Department of Pediatrics, Faculty of Medicine and Pharmacy, Mohammed VI University Hospital, Mohammed First University of Oujda, Oujda, MAR.
Cureus
|August 18, 2025
概括
自发胃穿孔 (SGP) 是一种罕见的新生儿紧急情况. 早期诊断和手术干预至关重要,但即使如此,早产婴儿也面临这种疾病的高死亡风险.
科学领域:
- 新生儿手术 新生儿手术
- 儿科胃肠病学 儿科胃肠病学
- 临界护理医学 临界护理医学
背景情况:
- 自发胃穿孔 (SGP) 是一种罕见的,危及生命的新生儿手术紧急情况.
- 过早出生的婴儿特别容易受到SGP的影响.
研究的目的:
- 报告在早产新生儿中发生的自发胃穿孔病例.
- 要突出与SGP相关的挑战和结果在这个人群中.
主要方法:
- 一个新生男婴在怀孕33周出生的案例报告.
- 通过腹部放射图证实了诊断,显示了肺.
- 紧急探索性腹腔切除术与胃孔的初级修复.
主要成果:
- 新生儿在生命的第二天出现了腹部膨胀,胆汁吐和呼吸困难.
- 一个2厘米的胃穿孔被确定并通过手术修复.
- 尽管进行了干预,但婴儿患上了败血症,休克和多器官衰竭,在48小时内死亡.
结论:
- 在早产新生儿中,SGP具有极端的过程和高死亡率.
- 怀疑的高指数对于早期诊断和及时的手术干预至关重要.
- 积极的术后管理是必不可少的,但可能无法预防严重病例的不良结果.
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