发育医学电子杂志 2022, Vol. 10 Issue (5): 383-385 DOI: 10.3969/j.issn.2095-5340.2022.05.010
临床遗传
病例报告
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11 号染色体长臂缺失1 例
苏娜 马国达 曾词正 蓝翔 李艺养 陈日玲
(1. 广东医科大学附属 医院 儿科,广东 湛江 524000;2. 广东医科大学顺德妇女儿童医院 儿科,广
东 佛山 528300;3. 江西省妇幼保健院 儿科,江西 南昌 330000;4. 广东医 科大学顺德妇女儿童医院 妇幼研究所,广东 佛山 528300)
A case of deletion of the long arm of chromosome 11
Su Na, Ma Guoda, Zeng Cizheng, et al
摘要 患儿男,9月余,因“肺部感染、营养不良”于 2020年8月在广东医科大学附属医院儿科住院治疗。 患儿为孕4产3,足月顺产,生后Apgar评分10-10- 10分,出生体质量3.1 kg,身长50 cm,头围34 cm。 父母非近亲结婚,有2个哥哥,体健。母亲人工流产 1次,此次孕期产检未发现异常。患儿生后发现前 额突出、鼻梁塌陷、低耳位、腭裂(图1A)、肌 张力低、听力障碍,心脏彩超、血尿遗传代谢筛查 正常。患儿面部畸形、肌张力降低,不能排除染 色体疾病可能,通过序列比较基因杂交技术检测 发现11号染色体(q14.1~q22.3)存在24.5 Mb片段缺 失。患儿腭裂需长期鼻胃管喂养;1个月开始出现 体质量不增,营养不良;5个月会抬头,8个月会单 侧翻身,9个月不会坐。多次因肺部感染住院,给 予对症治疗后好转出院。
关键词:
11号染色体
长臂缺失
生长发育迟缓
腭裂
漏斗胸
收稿日期: 2021-02-22
发布日期: 2022-09-30
基金资助: 2020 年省科技创新战略专项资金(2020A1515010240)
通讯作者:
陈日玲
E-mail: chenrl319@163.com
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