RESUMO
OBJECTIVE: To investigate the birth defect condition in Haidian district of Beijing city, 61,272 live-born infants who were delivered in Haidian Maternal and Child Health Hospital from 2003 to the March of 2009 are analyzed. METHODS: Data was collected from the hospital's medical records and from the birth defect surveillance. RESULTS: Among the newborns studied, 1 076 were found having birth defect (17.56 per thousand). The most common birth defects are congenital heart defect, followed by dysmorphosis of external ear, polydactyly, hypospadia, cleft lip and palate. In addition, three birth defects that are not included in the birth defect surveillance list were enorchia, renal agenesis and giant hemangioma. The birth defect rates of preterm and small for gestational age infants are significantly higher than it of the term infants. The birth defect patterns for these two types of abnormal infants are distinct. CONCLUSION: We have determined the pattern of birth defects in Beijing, which may help in policy-making regarding the prevention and intervention of birth defects.
Assuntos
Anormalidades Congênitas/epidemiologia , Orelha Externa/anormalidades , Cardiopatias Congênitas/epidemiologia , China/epidemiologia , Feminino , Dedos/anormalidades , Humanos , Recém-Nascido , Masculino , Polidactilia/epidemiologia , PrevalênciaRESUMO
RATIONALE: Gastrointestinal stromal tumors (GISTs) are the most common mesenchymal tumors involving the gastrointestinal tract. A small percentage of GISTs may cause acute gastrointestinal bleeding, which requires urgent surgical intervention. PATIENT CONCERNS: In this case report, we present a 62-year-old male patient with who was hospitalized due to acute bleeding. DIAGNOSES: The patient was diagnosed as GIST with low risk. INTERVENTIONS: The patient was treated endoscopically with polidocanol sclerotherapy. OUTCOMES: The mass was removed completely, and the patient was discharged at day 9 after operation. LESSONS: This case indicates that GIST can present as massive upper gastrointestinal bleeding and urgent endoscopic sclerotherapy can be life-saving. The endoscopical intervention may be a good alternative for emergency.