Lower gastrointestinal tract perforation in preterm infants treated with dexamethasone for bronchopulmonary dysplasia

被引:0
作者
P. C. Ng
T. F. Fok
K. W. So
W. Wong
P. K. F. Yip
K. Liu
机构
[1] The Chinese University of Hong Kong,Department of Surgery
[2] The Chinese University of Hong Kong,Department of Paediatrics
来源
Pediatric Surgery International | 1997年 / 12卷
关键词
Dexamethasone; Ileum; Perforation;
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学科分类号
摘要
Two cases of ileal perforation in preterm infants treated with high-dose dexamethasone for bronchopulmonary dysplasia are described. Corticosteroid-induced gastroduodenal haemorrhage or perforation has been well documented, but less known to most clinicians is that the lower gastrointestinal tract can also be involved. Unlike previous reported cases in which affected infants deteriorated rapidly and became moribund within hours of onset of symptoms, “silent” perforations detected on routine radiograph or escaping clinical recognition until at an advanced stage can be the initial presentation. The need for greater vigilance and a low threshold for abdominal investigations are emphasised in preterm infants treated with dexamethasone.
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页码:211 / 212
页数:1
相关论文
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