贝宁圣让·德·德·丹吉埃塔医院儿童肾病综合征的外科并发症分析

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摘要

背景:肾病综合征的血栓栓塞和感染性并发症是非常严重的,可能具有功能性或危及生命。手术并发症是罕见的,因此我们的工作感兴趣,该工作旨在研究“Hopital Saint-Jean De Dieu De Tanguieta”(贝宁)儿童肾病综合征手术并发症的治疗和进化临床方面。方法:这是一项前瞻性病例研究,研究对象为2016年10月至2018年12月在“贝宁圣让-德迪厄医院”随访的患有复杂肾综合征的儿童。结果:我们报告了两例病例,均为男性。在手术并发症之前,症状主要是水肿综合征,每种症状平均持续8个月。一名7岁男孩因动脉血栓导致右脚自发性截肢,一名10岁儿童因左脚坏死性筋膜炎导致肾综合征的手术并发症。肾病综合征是特发性的,需要手术和医疗护理。肾病综合征对皮质激素敏感,5个月内进展良好。结论:这两个病例告诉我们,任何儿童水肿综合征都必须迅速探索,并进行适当的治疗,以避免这些严重的并发症和后遗症。
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Surgical Complications RevealingNephrotic Syndrome Of Children At ’’Hopital Saint Jean De Dieu De Tanguieta’’ (Benin)
Background:Thromboembolic and infectious complications of nephrotic syndrome are powerfuland canbefunctional or life threatening. Surgical complications are rare, hence the interest of our work which aimed to study the therapeutic and evolutionary clinical aspects of the surgical complications of the children’s nephrotic syndrome at ’’Hopital Saint Jean De Dieu De Tanguieta’’ (Benin). Methods: This was a prospective case study of children with complicatednephrotic syndrome followed at ‘’Hopital Saint Jean De Dieu De Tanguieta’’ (Benin) fromOctober 2016 to December 2018. Results: We reported two cases, all male. Before surgical complications the symptoms were dominated by an oedema syndrome lasting for each of them on averageeightmonths. Surgical complications thatrevealednephrotic syndrome were a spontaneous amputation of the right foot due to arterialthrombosis in a seven-year-old boy and a necrotizingfasciitis of the left foot in a 10-year-old child.The nephrotic syndrome wasidiopathic and the cares werebothsurgical and medical. Nephrotic syndrome wascorticosensitivewith a goodevolution in five months. Conclusion: These two cases teach that any childhoodoedema syndrome must bequicklyexplored for appropriated management to avoidtheseserious complications and aftereffects.
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