SPONTANEOUS FOCAL GASTROINTESTINAL PERFORATION IN VERY LOW BIRTH-WEIGHT INFANTS
SPONTANEOUS FOCAL GASTROINTESTINAL PERFORATION IN VERY LOW BIRTH-WEIGHT INFANTS
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DOI：
10.1016/s0022-3476(88)80285-3
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发表时间：
1988-08-01
影响因子：
5.1
通讯作者：
HENDRICKSMUNOZ, KD
中科院分区：
文献类型：
--
作者：
ASCHNER, JL;DELUGA, KS;HENDRICKSMUNOZ, KD
自发性，局灶性胃肠道穿孔发生在6个极低出生体重儿。六名婴儿中有五名的第一个公认的穿孔临床体征是腹壁明显的蓝黑色变色。在所有病例中，临床和影像学表现以及组织学检查结果均与坏死性小肠结肠炎相关表现不同。所有4例接受剖腹探查术和修补术的婴儿均获得了良好的手术结局。
Spontaneous, focal gastrointestinal perforation occurred in six very low birth weight infants. The first recognized clinical sign of perforation in five of the six infants was striking blue-black discoloration of the abdominal wall. In all cases the clinical and radiographic presentations, as well as the histologic findings, were distinct from those associated with necrotizing enterocolitis. All 4 infants who underwent exploratory laparotomy and repair had excellent surgical outcomes.