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关于新生儿胃穿孔的发病原因,有两种对立的见解。一种认为先天肌层缺损是主要原因;另一种认为是胃壁过度伸展,肌层萎缩而引起胃穿孔。作者报导近2年内见到的6例新生儿胃穿孔,其中2例治愈,手术时发现穿孔都在胃大弯;胃壁肌层缺损的范围都较广泛,不只是局限于穿孔部位;肌缺损的周围呈青紫色。组织学检查肌层、粘膜和血管都有异常。穿孔部附近的粘膜变薄,胃腺发育不良,有的地方几乎见不到胃腺,粘膜下肌层菲薄。穿孔处的肌层
There are two opposing opinions about the cause of neonatal gastric perforation. One is that the main reason is the congenital muscle defect; the other is that the stomach is over-stretched, muscle atrophy caused by gastric perforation. The authors report 6 cases of neonatal gastric perforation seen in the past 2 years, of which 2 cases were cured, the perforation of the stomach was found in the process of gastric curvature; gastric wall muscle defect range is broader, not just confined to the perforation site; Around was blue. Histological examination muscle, mucosa and blood vessels are abnormal. Mucosa near the perforation thinning, gastric gland dysplasia, in some places almost no stomach gland, submucosal muscle meager. Perforation of the muscular layer