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目的提高先天性腹裂的诊断与治疗水平。方法先天性腹裂患儿30例,按病变严重度及合并畸形分单纯及复杂二组,采用两种不同外科干预方式:Ⅰ期修补术和Silo袋置袋后Ⅱ期修补术。这两种模式中均有产房外科早期干预患儿。结果先天性腹裂单纯组均可Ⅰ期手术7例(其中含1例双胎腹裂),存活率100%;复杂组中23例,除8例家长放弃治疗外,均行Silo袋置袋术及Ⅱ期修补术,成活率66.7%。5例死亡原因是严重腹腔感染、多脏器功能衰竭。结论Ⅰ期修补手术患儿已无死亡率,产房外科早期干预手术值得推广,Silo袋为提高腹裂患儿Ⅱ期手术修补的成功起到重要的作用。
Objective To improve the diagnosis and treatment of congenital gastritis. Methods Thirty patients with congenital heart beriberi were divided into two groups according to the severity of the disease and the simple and complicated deformity. Two different surgical interventions were used: stage Ⅰ repair and stage Ⅱ repair after Silo bagging. Both models had early interventions in maternity surgery in children. Results In the simple group of congenital cleft palate, 7 patients (including 1 twins) were treated with stage I operation, the survival rate was 100%. In the complicated group, 23 patients were given Silo bags Surgery and Ⅱ repair, survival rate of 66.7%. Five cases of death due to severe abdominal infection, multiple organ failure. Conclusion There is no mortality in children undergoing stage Ⅰ repair. Early surgical intervention in the maternity surgery department is worthy of promotion. Silo bag plays an important role in improving the success of stage Ⅱ surgical repair in children with primary ascites.