伴有腸壁積氣症之嬰兒壞死性腸炎：四病例報告

Necrotizing Enterocolitis with Pneumatosis Cystoides Intestinalis in Infancy: A Report of 4 Cases

張美惠(Mei-Hwei Chang) ； 陳森輝(Sen-Hwei Chen) ； 李廷堅(Ting-Chien Lee) ； 林文士人(W. S. J. Lin)

《Acta Paediatrica Sinica》 16卷3期 (1975/09) Pp. 151-157

摘要

近年來著者等在臺大醫學院附設醫院小兒科發現四個病理解剖證實的嬰兒壞死性腸炎病例。這四個病例當中，兩個有黃疸及病原性大腸菌腸炎（病例一及四），一個是有先天性心臓病的早產兒，在頭部長有癤子（病例二），另一個則有頭部癤子併發化膿性腦膜炎（病例三）。除了病例二是在解剖時才發現以外，其他三病例均在死前由X光上特出之腸壁積氣現懷疑有壞死性腸炎，病例四並且曾施以外科手術，但因壞死性腸炎所侵犯範圍太廣，四病例均死亡。死後病理變化可見氣囊於黏膜下層，有時在漿膜下層亦有，主要侵犯空腸、迥腸、盲腸及昇結腸。

並列摘要

In recent 3 years, we have collected 4 cases of necrotizing enterocolitis with pneumatosis cystoides intestinal is in infancy. In all cases the diagnosis was proved by autopsy. Among these cases, cases 1 and 4 had enterocolitis due to pathogenic E. coli and jaundice. Case 2 was a premature baby with congenital heart disease and furunculosis. Case 3 was a case of purulent meningitis. Three cases were diagnosed clinically by their typical abdominal X-rays, the remaining one case (case 2) was discovered on autopsy. They all died because of too extensive involvement. Pathology revealed air cysts in submucosa and some cases in subserosa. They mainly located at jejunum, ileum, cecum and ascending colon.