Long-term alpha-tocopherol supplements may improve mental development in extremely low birthweight infants.
Long-term alpha-tocopherol supplements may improve mental development in extremely low birthweight infants.
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长期补充α-生育酚可以改善极低出生体重婴儿的智力发育。
DOI：
10.1111/ped.12409
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发表时间：
2015
期刊：
影响因子：
--
通讯作者：
Fujimura M.
中科院分区：
文献类型：
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作者：
Kitajima H;Kanazawa T;Mori R;Hirano S;Ogihara T;Fujimura M.
通过肠系膜缺损的内疝，称为肠系膜疝，是新生儿急性肠梗阻的一种罕见原因。绞窄性肠系膜疝导致肠坏死或穿孔和进行性恶化，并伴有致死性结局，尤其是发生在低出生体重婴儿中时。我们报告两名极低出生体重（VLBW）婴儿，他们表现为与肠系膜缺损相关的急性肠梗阻。这些病例的初步诊断为胎粪梗阻，这是极低出生体重婴儿发生肠梗阻的常见原因。由于病情迅速恶化和非特异性放射学检查结果，这些病例很难正确诊断肠系膜疝。认识到罕见的肠系膜疝引起急性肠梗阻的可能性，并在适当的时间内进行手术干预，对抢救极低出生体重婴儿的器官异常是很重要的。
Internal hernia through a mesenteric defect, called mesenteric hernia, is an uncommon cause of acute intestinal obstruction in newborns. Strangulated mesenteric hernia results in intestinal necrosis or perforation and progressive deterioration with fatal outcome, especially when it occurs in low‐birthweight infants. We report two very low‐birthweight (VLBW) infants, who presented with acute intestinal obstruction related to mesenteric defect. The initial diagnosis was meconium obstruction in those cases, which is a common cause of bowel obstruction occurring in VLBW infants. Correct diagnosis of mesenteric hernia was difficult in these cases because of rapid deterioration and non‐specific radiological findings. Awareness of the possibility of rare mesenteric hernia causing acute intestinal obstruction and surgical intervention in an appropriate timeframe are important for rescuing VLBW infants with such organic abnormalities.