건강한 만삭아에서 상부 위장관 출혈 2례
Two Cases of Upper Gastrointestinal Bleeding in Healthy Full Term Neonates
이지영, 이정현, 전정식, 박재옥,
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이지영 ( Lee Ji-Young )
가톨릭대학교 의과대학 소아과학교실
이정현 ( Lee Jung-Hyun )
가톨릭대학교 의과대학 소아과학교실
전정식 ( Chun Chung-Sik )
가톨릭대학교 의과대학 소아과학교실
박재옥 ( Park Jae-Ock )
순천향대학교 의과대학 소아과학교실
KMID : 0438520060130020278
Abstract
Upper gastrointestinal bleeding (UGIB) secondary to gastritis or peptic ulcer is unusual in neonates and possibly related to several risk factors such as intracranial hemorrhage, intracranial hypertension, congenital heart disease, perinatal asphyxia, respiratory failure and hypovolemia. It is even more unusual that healthy full term neonates get UGIB. Upper gastrointestinal endoscopy is indicated in neonates with persistent UGIB to identify the cause and location of bleeding. We report two cases of UGIB successfully treated with injection of epinephrine by means of endoscopy in healthy full term neonates. One infant had duodenal ulcer and the other had hemorrhagic gastritis.
키워드
Upper gastrointestinal bleeding;Endoscopy;Healthy full term neonate
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