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探索新生儿脐膨出早期诊治的特点。方法 :回顾性研究 10例脐膨出新生儿的诊治结果 ,并结合文献进行分析。结果 :10例脐膨出新生儿 ,7例 3d内就诊。 5例Ⅰ期手术修补 ,2例Ⅱ期修补。 3例病史超过3d ,行保守治疗。其中 9例治愈 ,经 2月～ 3年以上的随访生长发育良好。结论 :新生儿脐膨出是一种临床上少见的先天性疾病 ,是新生儿外科中的急症。早期准确的诊治是挽救患儿生命的关键。早期诊断中需特别注意仔细鉴别 ,并了解是否合并其它畸形。治疗应越早越好 ,一般 3d内就诊者可考虑急症手术 ,超过 3d者行保守治疗为好。
Explore the characteristics of early diagnosis and treatment of neonatal umbilical swelling. Methods: A retrospective study of 10 cases of umbilical swelling of the diagnosis and treatment of newborns, and combined with the literature for analysis. Results: 10 cases of umbilical bulging newborns, 7 cases within 3 days treatment. 5 cases of surgical repair Ⅰ, 2 cases of second-stage repair. 3 cases of more than 3d history, conservative treatment. Among them, 9 cases were cured and their growth was well followed up from February to more than 3 years. Conclusion: The newborn umbilical swelling is a clinically rare congenital disease and is an emergency in neonatal surgery. Early accurate diagnosis and treatment is the key to saving children’s lives. Early diagnosis requires careful attention to careful identification, and to understand whether the merger of other deformities. Treatment should be as early as possible, the general treatment may be considered within 3 days of emergency surgery, more than 3d conservative treatment is better.