흡인성 폐렴이 반복된 뇌성마비 환자에서의공장창냄술(Jejunostomy) 시행 1례
A Case of Jejunostomy for Cerebral Palsy with Recurrent Aspiration Pneumonia
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초록
저자들은 흡인성 폐렴이 자주 반복되는 뇌성마비 환자에서 공장창냄술을 시행한 후 튜브 식이요법을 계속하여 환자의 영양상태를 호전시키고 흡인성 폐렴 방지에 효과가 있었기에 이를 문헌고찰과 함께 보고하는 바이다.
Abstract
Cerebral palsy(CP) usually arises in the prenatal period, interferes with normal development of the brain and presents as a disorder of motor dysfunction. It is a common cause of severe neurologic disability in children with incidence of 2 per 1000 live births in Canada. Presently, with the persistent increase in premature births and improved care in the perinatal period, the incidence of CP is strikingly augmented. According to neurologically impaired motor ability, they commonly have feeding difficulties, like swallowing, leading to frequent aspiration pneumonia and gastroesophageal reflux. Therefore, improvement of feeding techniques should be an urgent requirement to correct the risk of poor growth. We report a case of CP due to kernicterus who have recurrent pneumonia and growth failure, experience a jejunostomy to overcome the feeding problems.
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