태변성 장폐색증 Meconium ileus

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태변성 장폐색증 Meconium ileus

 

  • 환상 췌장·선천성 식도 폐쇄· 선천성 기관 식도 누관(루)·비후성 유문 협착증·장 축염증·선천성 거대결장· 태변성 장폐색증·장중첩증·서혜부 탈장 감돈·무공항문(쇄항증)·장폐쇄 등 여러 가지 원인으로 신생아의 식도에서 항문까지 위장관의 어느 부위가 일부 또는 전부가 막힐 수 있다.
  • 여기서는 태변 장폐색증에 관해 간단히 설명한다. 신생아들에게 생기는 장관 폐쇄의 원인들 중 약 30%는 태변성 소장 폐쇄이다(출처; Consultant for pediatricians, February 2004, p.60). 
  • 진하고 끈적끈적 거리는 태변으로 소장관의 일부가 꼭 막혀 소장관의 일부가 막히는 병을 태변 장폐색증이라 한다. 
  • 낭포성 섬유증이 있는 신생아에게 이병이 주로 생긴다. 
  • 복부 팽만, 담즙이 섞인 구토, 태변을 누지 않고, 확대된 소장이 만져질 수 있고 복통, 복부 압통 등의 증상 징후가 생긴다. 
  • 병력, 증상 징후, 검진, 복부 X선 사진 검사, 울트라사운드 사진 검사, CT 스캔 검사 등으로 진단한다. 
  • 수술로 치료하거나 에네마 등으로 치료한다.
776420ab51bb2e7eb908313b678bc396.jpg
그림 48. 무 항문증(쇄항증) a-직장-요도 간 누관(루),b-무 항문과 직장, c-방광, d-요도.
출처; Ross Lab, Columbus. Ohio. USA와 소아가정간호백과

Meconium ileus 태변성 장폐색증

• Annular pancreas, congenital esophageal obstruction, congenital tracheal esophageal fistula (fistula), hypertrophic pyloric stenosis, intestinal axial inflammation, congenital giant colon, meconium intestinal obstruction, intestinal obstruction, inguinal hernia constriction, intestinal obstruction, intestinal obstruction, etc. As a cause, some or all of the gastrointestinal tract from the esophagus to the anus of a newborn may be blocked. • Here is a brief explanation of meconium ileus. About 30% of the causes of intestinal obstruction in newborns are meconium small intestine obstruction (Source; Consultant for pediatricians, February 2004, p.60).

• Meconium intestinal obstruction is a disease in which part of the small intestine is blocked due to a thick, sticky meconium.

• This disease is common in newborns with cystic fibrosis.

• Abdominal bloating, vomiting with bile, the enlarged small intestine without pressing the meconium, and symptoms such as abdominal pain and abdominal tenderness occur.

• Diagnosis is based on medical history, symptom signs, examination, abdominal x-ray examination, ultra sound photograph examination, and CT scan examination.

• Treated with surgery or with enema.

776420ab51bb2e7eb908313b678bc396.jpg

Fig. 48. Anorectomy (Chestopathy) a-rectal-urethral fistula (fistula), b-no anus and rectum, c-bladder, d-urethra. source; Ross Lab, Columbus. Ohio. USA and Pediatric Home Nursing Encyclopedia

출처 및 참조 문헌 Sources and references

  • NelsonTextbook of Pediatrics 22ND Ed
  • The Harriet Lane Handbook 22ND Ed
  • Growth and development of the children
  • Red Book 32nd Ed 2021-2024
  • Neonatal Resuscitation, American Academy Pediatrics
  • www.drleepediatrics.com제6권. 신생아의 성장 발육 양육 질환
  • The Johns Hopkins Hospital, The Harriet Lane Handbook, 18th edition
  • Red book 29th-31st edition 2021
  • Nelson Text Book of Pediatrics 19th21st Edition
  • Childhood Emergencies in the Office, Hospital and Community, American Academy of Pediatrics
  • Emergency Medical Service for Children, By Ross Lab. May 1989. p.10
  • Emergency care, Harvey grant, and Robert Murray
  • Emergency Care Transportation of Sick and Injured American Academy of Orthopaedic Surgeons
  • Emergency Pediatrics A Guide to Ambulatory Care, Roger M. Barkin, Peter Rosen
  • Immediate care of the acutely ill and injured, Hugh E. Stephenson, Jr
  • The Critically Ill Child, Diagnosis and Management, Edited by Clement A. Smith
  • Emergency Medical Services for Children: The Role of the Primary Care Provider, America Academy of Pediatrics
  • Quick Reference To Pediatric Emergencies, Delmer J. Pascoe, M.D., Moses Grossman, M.D. with 26 contributors
  • Manual of Emergency Care
  • 응급환자관리 정담미디어
  • 소아가정간호백과부모도 반의사가 되어야 한다이상원
  • Neonatal Resuscitation American heart Association
  • Neonatology Jeffrey J.Pomerance, C. Joan Richardson
  • Pediatric Resuscitation Pediatric Clinics of North America, Stephen M. Schexnayder, M.D.
  • Pediatric Critical Care, Pediatric Clinics of North America, James P. Orlowski, M.D.
  • Preparation for Birth. Beverly Savage and Dianna Smith
  • Infectious disease of children, Saul Krugman, Samuel L Katz, Ann A. Gershon, Catherine Wilfert
  • The Harriet Lane Handbook 19th Edition
  • 소아과학 대한교과서
  • 1권 소아청소년 응급의료 참조문헌과 출처
  • Other

Copyright ⓒ 2015 John Sangwon Lee, MD., FAAP

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