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小儿结肠穿孔或破裂病因复杂,处理困难,特别是新生儿,死亡率高,我院1983年3月至1994年7月收治13例,现结合临床分析如下。 1 临床资料 本组男10例,女3例。年龄2天～7岁,新生儿7例。病程2～30天,其中:<4天4例,4～10天6例,>10天3例。临床表现:腹痛3例,呕吐8例。腹胀12例,大便异常10例(腹泻4例,血便3例,便秘3例),发热11例。X线检查:肠腔液平9例,气腹征6例。 结肠穿孔部位,手术方式及治疗结果等见附表。
Pediatric perforation or rupture of the colon causes complex, difficult to deal with, especially the newborn, high mortality, our hospital from March 1983 to July 1994 admitted to 13 cases, are combined with clinical analysis is as follows. 1 clinical data of the group of 10 males and 3 females. Age 2 days to 7 years old, 7 newborns. Course of 2 to 30 days, of which: <4 days in 4 cases, 4 to 10 days in 6 cases,> 10 days in 3 cases. Clinical manifestations: abdominal pain in 3 cases, vomiting in 8 cases. 12 cases of bloating, 10 cases of abnormal stool (4 cases of diarrhea, bloody stool in 3 cases, 3 cases of constipation), fever in 11 cases. X-ray examination: intestinal fluid level in 9 cases, 6 cases of pneumoperitoneum. Colonic perforation site, surgical methods and treatment results see Schedule.