在延迟带分离时应该调查什么:两份病例报告
Dhiaedin A Khiati1, Sureyya Savasan2
1Department of Hematology Oncology, Children's Hospital of Michigan, Detroit, MI 48201, United States.
新生儿延迟带分离 (UCS) 可能与 urachal 遗留物 (UR) 有关,这是一个经常被忽视的情况. 腹部超声波可以帮助诊断UR,当UCS延迟并排除其他原因时.
科学领域:
- 新生儿护理 新生儿护理
- 儿科外科手术 儿科外科手术
- 医学诊断 医学诊断 医学诊断
背景情况:
- 延迟带分离 (UCS) 影响高达10%的新生儿.
- 白细胞粘附性缺陷 (LAD) 或XIII因子缺陷的UCS经常被调查.
- 尿残留 (UR) 比LAD或XIII因子缺乏更为常见,但在延迟UCS的病例中,研究频率较低.
研究的目的:
- 要突出延迟带分离 (UCS) 和 urachal 遗留物 (UR) 之间的关联.
- 为推延迟UCS病例的诊断方法.
- 强调在延迟UCS的差异诊断中考虑UR的重要性.
主要方法:
- 两名婴儿的病例报告呈现出延迟的UCS.
- 临床检查和调查LAD和XIII因子缺乏症.
- 腹部超声波来诊断 urachal 的残留物.
主要成果:
- 两个患有延迟UCS和粒瘤的婴儿对LAD和XIII因子缺乏症呈阴性.
- 腹部超声检查显示,这两名婴儿的腹腔残留物.
- 对于被诊断为 urachal 遗留物,不需要进行任何干预.
结论:
- 延迟带分离 (UCS) 可能与 urachal 遗留物 (UR) 相关.
- 腹部超声波是一种有用的诊断工具,用于在延迟UCS的情况下识别UR.
- 这种关联往往被忽视,在临床实践中需要考虑.
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