Resumen
定义
病史和体格检查
关键诊断因素
- maternal age <20 years (gastroschisis)
- maternal age >35 years (omphalocele)
- elevated maternal serum alpha-fetoprotein (gastroschisis)
- positive prenatal ultrasound
- fetal chromosomal abnormalities (omphalocele)
- abdominal contents external to the abdominal wall
危险因素
- maternal age <20 years (gastroschisis)
- male sex of neonate (gastroschisis)
- maternal age >35 years (omphalocele)
- smoking
- maternal infection during pregnancy
诊断性检查
首要检查
- clinical diagnosis
治疗流程
gastroschisis
omphalocele
撰稿人
作者
Cynthia L. Leaphart, BA, BS, MD

Patient Safety
University of Florida College of Medicine
Jacksonville
FL
利益声明
CLL declares that she has no competing interests.
鸣谢
Dr Cynthia L. Leaphart would like to gratefully acknowledge Dr Joseph T. Tepas, a previous contributor to this topic.
利益声明
JTT declared that he had no competing interests.
同行评议者
Lewis Spitz, MBChB, PhD, FRCS, MD, FRCPCH, FAAP, FCS
Emeritus Nuffield Professor of Paediatric Surgery
Institute of Child Health
University College
London
UK
利益声明
LS declares that he has no competing interests.
Fizan Abdullah, MD, PhD
Assistant Professor of Surgery
Division of Pediatric Surgery
Johns Hopkins University School of Medicine
Baltimore
MD
利益声明
FA declares that he has no competing interests.
Ruth Hallows, BSc, MB BS, FRCS, FRCS III (Pediatric Surgery)
Consultant in Paediatric and Neonatal Surgery
Royal Alexandra Children's Hospital
Brighton
UK
利益声明
RH declares that she has no competing interests.
Shilpi Chabra, MD
Assistant Professor
Department of Pediatrics
University of Washington Medical Center
Seattle
WA
利益声明
SC declares that he has no competing interests.
参考文献
关键文献
Torfs CP, Velie EM, Oechsli FW, et al. A population-based study of gastroschisis: demographic, pregnancy, and lifestyle risk factors. Teratology. 1994 Jul;50(1):44-53. 摘要
Langer JC, Harrison MR, Adzick NS, et al. Perinatal management of the fetus with an abdominal wall defect. Fetal Ther. 1987;2(4):216-21. 摘要
Glick PL, Harrison MR, Adzick NS, et al. The missing link in the pathogenesis of gastroschisis. J Pediatr Surg. 1985;20:406-9. 摘要
Snyder CL. Current management of umbilical abnormalities and related anomalies. Semin Pediatr Surg. 2007 Feb;16(1):41-9. 摘要
Sipes SL, Weiner CP, Sipes DR 2nd, et al. Gastroschisis and omphalocele: does either antenatal diagnosis or route of delivery make a difference in perinatal outcome? Obstet Gynecol. 1990 Aug;76(2):195-9. 摘要
参考文献
A full list of sources referenced in this topic is available to users with access to all of BMJ Best Practice.
鉴别诊断
- Cloacal exstrophy
更多 鉴别诊断指南
- Gastroschisis
- Gastroschisis: management prior to transfer to surgical centre
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