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新生兒B羣鏈球菌肝炎伴隨右橫膈疝氣:一病例報告

Neonatal Group B Streptococcal Pneumonia and Right-Sided Diaphragmatic Hernia: Report of One Case

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摘要


新生和之B羣鏈球菌(group B beta-hemolytic streptococcus, GBBS)感染合併有右橫膈疝氣(right-sided diaphragmatic hernia, RDH)的病例相當少見。我們特別提出一個病例:這是一個兩天大的病嬰因爲呼吸窘迫症狀而住院,很快就診斷出爲GBBS感染,於適當治療後病情略有改善。幾天後因持續性呼吸窘迫症狀而進一步診斷有RDH,經外科手術治療後,病嬰很快康復出院。 這篇報導的目的在於提醒讀者對該病症的發生及病理特色之了解,以期能快速診斷與治療。

關鍵字

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並列摘要


The symptoms of right-sided diaphragmatic hernia (RDH) rarely occur in the newborn period. The present report described a two-day-old neonate who presented with symptoms of respiratory distress and sepsis. Early onset group B beta-hemolytic streptococcal (GBBS) infection was diagnosed and RDH was found subsequently. A defect with smooth margin, sized 3×5 cm, located in posterior-lateral aspect of right diaphragm was observed during operation. After having been given antibiotics and surgical treatment, the infant recovered and was discharged in good condition. He has normal development at the age of one year. Possible pathogenesis is discussed in this report.

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