Revista brasileira de enfermagem · 2017
Neonatal appendicitis: a survival case study.
Клинический случайСтатьяНазвание и аннотация: Перевод в очереди
Обработка статьи · этапы, ошибки и управление
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Secco Izabela Linha, Costa Taine, Moraes Etiene Letícia Leone de, Freire Márcia Helena de Souza, Danski Mitzy Tannia Reichembach, Cavalcante Regina Paula Guimarães Vieira
Аннотация
OBJECTIVE: To report a case of neonatal appendicitis in a children's hospital in southern Brazil, demonstrating the impact on neonatal survival.
METHOD: Case study with data collection from medical records, approved by the Institution and Ethics Committee for Research with Human Beings.
RESULTS: The clinical picture is initially characterized by food intolerance, evolving to hypoactivity, alteration of vital signs and septicemia due to intestinal perforation. Management is exclusively surgical, since no case described in the literature was diagnosed preoperatively and the findings usually point to acute abdomen.
CONCLUSION: A focused clinical surveillance should be established when the infant presents peritoneal irritation. Follow-up of the evolution and the worsening of the symptoms by nurses, as part of the care team in partnership with the medical team, enables an early surgical intervention, thereby avoiding complications such as septicemia and death.
METHOD: Case study with data collection from medical records, approved by the Institution and Ethics Committee for Research with Human Beings.
RESULTS: The clinical picture is initially characterized by food intolerance, evolving to hypoactivity, alteration of vital signs and septicemia due to intestinal perforation. Management is exclusively surgical, since no case described in the literature was diagnosed preoperatively and the findings usually point to acute abdomen.
CONCLUSION: A focused clinical surveillance should be established when the infant presents peritoneal irritation. Follow-up of the evolution and the worsening of the symptoms by nurses, as part of the care team in partnership with the medical team, enables an early surgical intervention, thereby avoiding complications such as septicemia and death.