An 11-Month-Old With Vomiting, Altered Mental Status, and Hypoventilation

Q3 Medicine

Clinical Pediatric Emergency Medicine Pub Date : 2020-03-01 DOI:10.1016/j.cpem.2020.100764

James Rudloff MD , Matthew J. Lipshaw MD , Courtney McKee MD , Ruben J. Colman MD , Adam A. Vukovic MD, MEd

引用次数: 0

Abstract

Vomiting is a common pediatric complaint seen frequently in both pediatric and general emergency departments. Obstructive causes of vomiting are rare outside of the newborn period compared to more benign causes such as viral gastroenteritis. Timely recognition of these rarer causes of obstruction is essential for optimal care. This case highlights a severe presentation of chronic isolated vomiting caused by obstruction. It serves as a strong reminder to emergency care providers that obstruction can occur outside of the newborn period and, if unrecognized, can result in significant morbidity.

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11个月大，呕吐，精神状态改变，呼吸不足

呕吐是一种常见的儿科疾病，在儿科和普通急诊科都很常见。与病毒性肠胃炎等良性原因相比，在新生儿期之外，梗阻性呕吐是罕见的。及时发现这些罕见的梗阻原因对于最佳护理至关重要。本病例表现为由梗阻引起的慢性孤立性呕吐。它强烈提醒急诊护理提供者，新生儿期以外也可能发生梗阻，如果不加以认识，可能导致严重的发病率。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Clinical Pediatric Emergency Medicine PEDIATRICS-

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期刊介绍： This practical journal is devoted to helping pediatricians and emergency physicians provide the best possible care for their young patients. Each topical issue focuses on a single condition frequently seen. Cogently written review articles synthesize practical new advances in the field giving you the authoritative guidance on disease process, diagnosis, and management you need to achieve the best results.