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危重型脐膨出
引用本文:伍连康,余家康,夏慧敏,邹焱,钟微. 危重型脐膨出[J]. 中华小儿外科杂志, 2000, 21(1): 30-31
作者姓名:伍连康  余家康  夏慧敏  邹焱  钟微
作者单位:广州市儿童医院外科,510120
摘    要:
探讨影响脐膨出预后的因素,评价治疗效果。方法对37例脐膨出婴儿进行回顾性研究和总结,危重型脐膨出27例,其中巨大脐膨出21例,缺损直径小于5cm者6例。结果全组治愈26例,危重型治愈19例,巨大脐膨出治愈16例;一期修补29例,治愈25例,有呼吸机支持组治愈率为85.7%,无呼吸机支持组治愈率为56.25%。

关 键 词:外科手术 脐疝 机械通气
修稿时间:1999-02-08

Critical omphalocele
WU Liankang, YU Jiakang, XIAHuimin. Critical omphalocele[J]. Chinese Journal of Pediatric Surgery, 2000, 21(1): 30-31
Authors:WU Liankang   YU Jiakang   XIAHuimin
Affiliation:WU Liankang, YU Jiakang, XIAHuimin;(Dept. of Pediatric Surgery. Guanzhou Children's Hospital. Guanzhou 510120, China)
Abstract:
Objective To evaluate the prognostic factors and therapeutic results of omphalocele.Methods The records of 37 neonates with omphalocele were reviewed and analysed. Critical omphalocele was defined as neonates with giant omphalocele (diameter>6cm), respiratory distress, membrane rupture or fatal anomalies.Results Of them, 27 cases suffered from the critical type. The overall survival rate was 70.27% (26/37). The survival rate of the critical type was 70.37% (19/27). The Survival rate of neonates who undervent primary closure was 86.2% (25/29) and of those with and without respiratory support were 85.7% and 56.25% respectively.Conclusions The size of the defect should not be overemphasized. Adequate respiratory support is more relevant to the prognosis.
Keywords:Hernia   umbilical  Surgical procedures   operative  Ventilators   mechanical
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