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目的探讨新生儿先天性胃壁肌层缺损并发穿孔的诊断及治疗。方法对我院自2008年至2011年收治的16例先天性胃壁肌层缺损并发穿孔的新生儿患者临床资料进行回顾性分析。结果 16例患儿均施行手术,经病理证实诊断。其中12例存活,,4例死亡,死亡病例中1例为家长放弃治疗,1例为胎龄29周早产儿多脏器功能衰竭。结论以可疑临床表现,结合X线立位腹片及其他检查,及早确立诊断,尽早手术探查,彻底切除病变并结合有效的抗感染、抗休克及营养支持治疗可提高该病治愈率,并改善患儿预后。
Objective To investigate the diagnosis and treatment of congenital parietal myometrial defect in neonates with perforation. Methods The clinical data of 16 neonates with congenital gastric muscular dysplasia and perforation admitted to our hospital from 2008 to 2011 were analyzed retrospectively. Results All the 16 children underwent surgery and confirmed by pathology. Of these, 12 survived, 4 died, and 1 of the deaths was for parental abandonment and 1 was for multiple organ failure in preterm infants of 29 weeks gestational age. Conclusions With suspicious clinical manifestations, combined with X-ray and other examinations, early diagnosis, early surgical exploration, complete removal of the lesion combined with effective anti-infection, anti-shock and nutritional support can improve the cure rate and improve Children’s prognosis.