新冠肺炎背景下胃肠综合征患儿术后早期的特点

T. Avdeeva, I. F. Ostreykov, R. K. Usachev, E. A. Moskalenko, A. Usacheva
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引用次数: 0

摘要

目标。目的研究新冠肺炎背景下小儿外科住院的学龄前急性腹痛患儿胃肠道综合征的发展及病程特点。患者和方法。该研究于2021年9月1日至2021年12月30日期间在斯摩棱斯克地区临床医院的儿科外科、麻醉科和复苏科进行。采用连续抽样的方法,对29例4 ~ 7岁急性腹痛患儿的临床资料进行分析。对小儿外科排除急性外科病理后出院的患儿的新冠肺炎病程进行动态研究。结果。100%的儿童表现为急性弥漫性腹痛和高热;65%的儿童出现呕吐,56.25%的儿童出现腹泻。7例患儿(24%)需要诊断性腹腔镜检查,其中5例患儿无手术病理,2例患儿诊断为粘连。腹腔镜检查均发现肠系膜炎。结论。新冠肺炎背景下的急性外科病理和胃肠道综合征在儿童急性期具有相似的表现。在COVID-19背景下,在急性期进行手术干预会引起并发症,延长恢复期。关键词:儿童,COVID-19,胃肠道综合征,儿童急性外科病理
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Features of early postoperative period in children with gastrointestinal syndrome against the background of COVID-19
Objective. To study the features of the development and course of gastrointestinal syndrome against the background of COVID-19 in preschool-aged children hospitalized in the Pediatric Surgery Department with acute abdominal pain. Patients and methods. The study was performed on the basis of the Departments of Pediatric Surgery, Anesthesiology and Resuscitation at Smolensk Regional Clinical Hospital between September 1, 2021, and December 30, 2021. Using continuous sampling, we analyzed clinical data of 29 children aged 4 to 7 years with acute abdominal pain against the background of COVID-19. The course of COVID-19 in children who were discharged from the Pediatric Surgery Department after exclusion of acute surgical pathology was studied in dynamics. Results. The disease manifested itself as an acute diffuse abdominal pain and hyperthermia in 100% of children; 65% of children had vomiting, and 56.25% of them had diarrhea. Seven (24%) children required diagnostic laparoscopy, of whom 5 children had no surgical pathology and 2 were diagnosed with adhesions. Laparoscopy revealed mesadenitis in all patients. Conclusion. Acute surgical pathology and gastrointestinal syndrome against the background of COVID-19 have similar manifestations during the acute period in children. Surgical interventions performed against the background of COVID-19 in the acute period provoke complications and prolong the recovery period. Key words: children, COVID-19, gastrointestinal syndrome, acute surgical pathology in children
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来源期刊
Voprosy Detskoi Dietologii
Voprosy Detskoi Dietologii Medicine-Pediatrics, Perinatology and Child Health
CiteScore
1.20
自引率
0.00%
发文量
17
期刊介绍: The scientific journal Voprosy Detskoi Dietologii is included in the Scopus database. Publisher country is RU. The main subject areas of published articles are Food Science, Pediatrics, Perinatology, and Child Health, Nutrition and Dietetics, Клиническая медицина.
期刊最新文献
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