新生儿先天性肠系膜裂孔疝并全小肠坏死死亡案例分析  

Neonatal Death of Congenital Mesenteric Hernia and Intestinal Necrosis: A Case Report

作　　者：黄锶哲 苏军[2] 刘良[1] 刘茜[1] 

机构地区：[1]华中科技大学同济医学院法医学系,武汉430030 [2]厦门市公安局思明分局,福建厦门361009

出　　处：《刑事技术》2016年第1期80-81,共2页Forensic Science and Technology

摘　　要：新生儿肠系膜裂孔疝系罕见的先天性腹内疝,该病发病率低,发病初期症状不典型,且通过相关辅助检查均难以发现特征性变化,诊断极为困难,该病病情发展迅猛,死亡率很高。本文对一起因新生儿先天性肠系膜裂孔疝未及时诊断,最终合并全小肠坏死而死亡的案例进行分析报道,指出当新生儿出现急腹症表现时不应忽略腹内疝等外科急腹症,旨在强调在这类疾病的法医学鉴定中应注意系统检验尸体的重要性。Congenital mesenteric hernia in the newbom is a rare abdominal hemia. Usually, it is difficult to diagnose the disease because of its low morbidity, untypical symptoms during the early stage and lack of specific symptoms even in assitance with auxiliary examinations. With the clinical features mentioned above, the disease often deteriorates rapidly and badly, causing a high rate of death. Either determination of the cause of death or judicial authentication on medical treatment fault requires forensic experts to carry out systematical autopsy. Forensic pathological examination must be carefully made on abdominal cavity, mesenteric hernia and the intestine incarcerated in the hernia sac. A case is reported here, in which an infant suffered from congenital mesenteric hernia, and died of intestinal necrosis as a result of a misdiagnosis. The author would like to call for the thorough consideration of surgical abdominal hernia-like acuteness when acute abdominal symptoms happen to neonates, and to emphasize the importance of systematically forensic autopsy in such cases.

关 键 词：法医病理学 先天性肠系膜裂孔疝 肠坏死 

分 类 号：DF795.1[医药卫生—法医学]