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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。
This article reports 17 cases of neonatal gastric perforation, death in 10 cases (58.8%), survival in 7 cases (41.2%). Two cases of extensive gastrointestinal necrosis only for exploration, the remaining three kinds of surgical treatment: simple gastric perforation repair, gastric partial resection and anastomosis (2 cases simultaneously gastrostomy), total gastrectomy esophageal jejunostomy. Analysis of 17 cases of clinical data, combined with the literature, we believe: selective gastric ischemic necrosis and congenital stomach wall muscle defect is the main cause of the disease. Premature delivery, low birth weight, long course of disease, large perforation of necrosis, severe infection and so on are the main causes of death of the disease.