早期发现和干预赫氏胃肠病:成功的关键。

IF 0.8 Q3 MEDICINE, GENERAL & INTERNAL Clinical Medicine Insights. Case Reports Pub Date : 2024-01-23 eCollection Date: 2024-01-01 DOI:10.1177/11795476241226577
Karishma Rathi, Aanya Verma, Priyanka Pingat
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引用次数: 0

摘要

赫氏病是一种先天性疾病,其特点是结肠肌肉神经细胞缺失,导致排便困难。本病例报告描述了一名新生儿患者的典型症状,包括腹胀、便秘、腹泻和发热。患者最初的实验室检查结果显示贫血(血红蛋白:9.80 g/dL)、红细胞计数低(350 万/立方毫米)、RDW 升高(16.70%)、白细胞计数升高(11 000/立方毫米)、血小板水平升高(891 000/微升)以及 CRP 升高(3.22)。婴儿接受了综合治疗,包括输血、Syp.MVBC, Enterogermina, Inj.Pan, Inj.Metro、Inj.Piptaz, Inj.万古霉素、葡萄糖酸钙和 Inj.阿米诺文。经过治疗和必要的手术干预后,患者频繁排便的情况明显改善,其他症状也有所缓解。本病例强调了及时诊断和多学科治疗对婴儿赫氏贲门失弛缓症患者获得良好治疗效果的重要性。
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Early Detection and Intervention for Hirschsprung's Disease: A Key to Successful Outcomes.

Hirschsprung's disease is a congenital disorder characterized by the absence of nerve cells in the colon muscles, leading to difficulties in evacuating stool. This case report describes a newborn patient presenting with typical symptoms of the disease, including abdominal distension, constipation, diarrhea, and fever. The patient's initial laboratory investigations revealed anemia (Hb: 9.80 g/dL), low RBC count (3.50 million/cu mm), elevated RDW (16.70%), increased WBC count (11 000/cu mm), and raised platelet levels (891 000/µL) along with an elevated CRP (3.22). The baby received a comprehensive treatment regimen, including blood transfusion, Syp. MVBC, Enterogermina, Inj. Pan, Inj. Metro, Inj. Piptaz, Inj. Vancomycin, Calcium gluconate, and Inj. Aminoven. Following this treatment and necessary surgical intervention, the patient demonstrated significant improvement in frequent bowel movements and alleviation of other symptoms. This case highlights the importance of prompt diagnosis and multidisciplinary management for favorable outcomes in infants with Hirschsprung's disease.

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来源期刊
Clinical Medicine Insights. Case Reports
Clinical Medicine Insights. Case Reports MEDICINE, GENERAL & INTERNAL-
CiteScore
1.10
自引率
0.00%
发文量
57
审稿时长
8 weeks
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