摘要
本文报告17例新生儿胃穿孔，死亡10例（58．8％），存活7例（41．2％）。2例胃肠广泛坏死仅作探查，余行三种术式治疗：单纯胃穿孔修补术、胃部分切除吻合术（2例同时行胃造瘘术）、全胃切除食管空肠吻合术。分析17例临床资料，结合文献，我们认为：选择性胃缺血性坏死和先天性胃壁肌肉缺损是该病的主要发病原因。早产，低出生体重、病程长，坏死穿孔大，严重感染等是该病的主要死亡原因。
17 cases of neonatal gastric perforation are reported. Among them. 10 died (58. 8% ).and 7 survive (41. 2% ). Laparotomy was only operated on 2 cases with extensive gastro-intestinal necrosis. Simple gastric repairing. gastroanastomosis associated part-gas trectomy and esophagojejamoplasty associated whole-gastrectomy were performed on the other cases.Clinical data of 17 cases was analysised, it is suggested that gastroischernic necrosis and congenital gastric defection is main cause of the disease and premature birth. low birth weight.extensive necrosis or perforation and serious infection are important factors of death
出处
《新生儿科杂志》
1997年第2期51-52,共2页
The Journal of Neonatology
