论文部分内容阅读
急性出血坏死性小肠炎多发于儿童,早期诊断十分困难,易漏诊、误诊。本病例无特征性果酱样与血水样大便,以麻痹性肠梗阻为主要表现,经剖腹探查确诊;术中发现回肠呈间断紫红色,未切除病变肠管,术后并发不全肠梗阻与肠粘连,5年后经二次手术松解肠粘连及切除病变肠管,患儿痊愈。此病例启发是:低蛋白饮食者易发生本病;遇肠梗阻征兆时,应仔细判断肠梗阻类型,若出现血便或潜血阳性,应高度怀疑本病;若手术,应关注肠管节段性病灶,综合分析切除肠管的利弊,尽可能切除病变肠管;术后配合防肠粘连中药验方有助于防肠粘连肠梗阻并发症。
Acute hemorrhagic necrotizing enterocolitis occurs in children, early diagnosis is very difficult, easy to missed diagnosis, misdiagnosis. This case no characteristic jam-like and bloody watery stool to paralytic ileus as the main performance, confirmed by laparotomy; intraoperative findings ileum was interrupted fuchsia, not remove the diseased bowel, postoperative complicated with intestinal obstruction and intestinal adhesion , 5 years later by the second operation to relieve intestinal adhesions and removal of diseased bowel, the patient recovered. This case is inspired by: low-protein diet prone to the disease; case of intestinal obstruction symptoms, should be carefully determine the type of intestinal obstruction, if bloody stools or occult blood positive, should be highly suspected of the disease; if surgery, should pay attention to segmental segmental lesions , A comprehensive analysis of the advantages and disadvantages of resection of the intestine, removal of diseased bowel as far as possible; postoperative with anti-intestinal adhesion of traditional Chinese medicine recipe helps prevent intestinal adhesion obstruction complications.