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目的 :总结新生儿巨型脐膨出修复的经验。方法 :对 11例巨型脐膨出临床资料进行回顾性分析。结果 :男 8例 ,女 3例。腹壁缺损直径为 5～ 12 cm。其中缺损范围在 5～ 6 cm的 3例行一期修复 ;其余缺损超过 6 cm的病例 ,1例行二期修补 ,另 7例行分期整复修复术。本组 9例痊愈 ,1例一期修复术后死于呼衰 ,1例因并发严重硬肿症放弃治疗。结论 :巨型脐膨出的修复强调早期进行。手术方式以分期整复修补术最为安全、可靠 ,术后感染和低体温的防治及静脉高营养支持是提高疗效的关键
Objective: To summarize the experience of neonatal giant umbilical swelling. Methods: The clinical data of 11 cases of umbilical swelling were retrospectively analyzed. Results: There were 8 males and 3 females. Abdominal wall defect diameter of 5 ~ 12 cm. Among them, 3 cases with a defect ranging from 5 to 6 cm were repaired in one case. The remaining cases with a defect of more than 6 cm were repaired in one stage and repaired in 7 cases. The group of 9 cases recovered, 1 case of a repair died of respiratory failure, 1 case of severe sclerosis to give up treatment. CONCLUSIONS: Giant umbilical swelling remodeling emphasizes early stages. Surgical repair of staging repair the most safe, reliable, postoperative infection and hypothermia prevention and maintenance of intravenous nutrition is the key to improving efficacy