摘要
目的探讨新生儿胃破裂的早期诊断和治疗的方法。方法回顾性分析21例新生儿胃破裂的病例资料。结果手术前均经X线摄片、腹部超声检查,并做腹腔穿刺明确诊断后行胃破裂修补术。治愈15例,死亡6例,治愈率71%。其中发病后24h内施行手术治疗14例,治愈12例;超过24h手术治疗7例,治愈3例,死亡4例。经统计学分析,两者差异有统计学意义(P<0.01)。结论争取早期诊断并在24h内手术治疗,以及术后抗感染、合理应用静脉营养支持治疗是提高治愈率的关键。
Objective To explore the early diagnostic and therapeutic methods of gastric rupture in neonates. Methods Twenty-one cases of neonates suffered from gastric rupture were analyzed retrospectively. The correct diagnosis was conformed to clinical manifestation, preoperative abdominal radiography, ultrasonography, and abdominal puncture. All of the Patients were treated with gastric repair as soon as possible. Results 15 cases survived,5 cases died,and the curative rate was 71%. 14 cases were treated with surgical gastric repair in 24 hours after morbidity, and 12 of which survived. Bur 7 patients were done after 24 hours, and 3 survived, 3 died. There was statistical significance among the two （P 〈 0.01 ）. The causes of deaths were related to delayed diagnosis, infection, shock,and multiple organ dysfunction syndromes. Conclusion Early diagnosis,in-time operation,and post-operative anti-infection,total parenreral nutrition might be the key to the curative rate.
出处
《中国基层医药》
CAS
2006年第10期1636-1637,共2页
Chinese Journal of Primary Medicine and Pharmacy
关键词
婴儿
新生
胃破裂
Infant, newborn
Stomach rupture
