Résumé
Objective:To investigate the diagnosis and treatment of abdominal cocoon (AC).Methods:The clinical manifestations, findings during surgery, treatments, and follow-up results of 26 cases of AC were retrospectively studied from Jan 2001 to Jan 2019.Results:All of 26 cases were diagnosed as AC definitely by laparotomy, and were categorized into 2 types: type Ⅰ is of absence of second enterocoelia (18 cases, 69%) while type Ⅱ shows second enterocoelia (8cases, 31%). Twenty cases (12 type Ⅰ, 8 type Ⅱ) underwent membrane excision and careful enterodialysis to release the small intestine entirely or partially, while the other 6 cases (all were type Ⅰ) did not. All the patients recovered smoothly.Conclusions:AC can be categorized into two types, Surgery is recommended for type Ⅱ and part of type Ⅰ with severe complications.
Résumé
Objective To explore the risk factors of primary nephritic syndrome complicated with thrombosis in children. Methods Clinical data of 238 children with primary nephritic syndrome were retrospectively analyzed. The children were divided into thrombosis group and non-thrombosis group according to whether complicated with thromboembolism. Univariate and logistic regression analysis were performed.Results Among 238 children, there were 32 cases of primary nephritic syndrome complicated with thrombosis and the rate was 13.44%. Univariate analysis showed that infections, the use of diuretic, degree of edema, white blood cell count, IgG, C3, total protein, albumin, urea nitrogen, plasma ifbrinogen, D-dimer, antithrombinⅢ, and 24-hour proteinuria were signiifcantly different between two groups (allP< 0.05). Multivariate analysis showed that D-dimer and 24-hour proteinuria were the independent risk factors for children with primary nephrotic syndrome complicated with thrombosis.Conclusion The elvated level of D-dimer and 24-hour proteinuria were the risk factors of children with primary nephrotic syndrome complicated with thrombosis.