早産兒腸套疊二病例報告

Intussusception in Premature Infants Two Cases Report

呂怡璋(Yi-Jang Leu) ； 洪漢陽(Han-Yang Hung) ； 許瓊心(Chyong-Hsin Hsu) ； 黃富源(Fu-Yuan Huang) ； 葉明倫(Ming-Lun Yeh)

《Acta Paediatrica Sinica》 27卷6期 (1986/12) Pp. 576-579

摘要

兩位早産兒因呼吸窘迫症，在本院出生後馬上轉入新生兒加護病房治療。其後兩位病人均發生腹脹，嘔吐及血便，且胃管引流有膽汁樣液，腹部X光攝影顯示腸環膨脹，但沒有腸壁積氣。在懷疑壞死性腸炎診斷下治療後，腥脹並沒有改善，於是接受探腹手術。手術發現均爲廻腸－廻腸型腸套疊合併壞疽。兩列手術修正後病情皆穩定。由於早産兒腸套疊非常光見且臨床上與壞死性腸炎非常相似，常被延誤診斷，特提出病例報告，並討論之。

並列摘要

Two premature infants with respiratory distress developed abdominal distension, hematochezia and bile-stained vomitus during the course of admission. Plain abdomen X-ray showed dilation of bowel loops without evidence of pneumatosis intestinalis. Initially they were treated as necrotizing enterocolitis, but the symptoms persisted. Exploratory laparotomy showed ileo-ileal intussusception with gangrenous change. After surgical correction, the course was uneventful. As neonatal intussusception is rare, especially in the premature infant, and clinically can be mis-diagnosed as necrotizing enterocolitis, sonography can be very helpful in the differential diagnosis of intestinal obstruction in the newborn period.

並列關鍵字

intussusception ； necrotizing enterocolitis ； sonography