32例新生儿胃肠道穿孔的临床分析

目的探讨新生儿胃肠穿孔的诊断和治疗方法。方法32例胃肠穿孔新生儿经X线、彩超及腹腔穿刺等明确诊断，胃肠穿孔一经确诊后均采取手术治疗。结果治愈17例，死亡15例，治愈率53．13％。死亡病例与早产低体质量儿，延期诊断，误诊，合并感染、休克、多脏器损害等因素有关。结论早期诊断、重视术前处理、合理选择术式、术后常规应用全静脉营养支持、加强术后呼吸循环管理等综合治疗是提高疗效的关键。

Clinical characteristics of 32 newborns with gastrointestinal perforation

Objective To study diagnosis and treatment of newborns with gastrointestinal perforation. Methods A total of 32 newborns with gastrointestinal perforation were diagnosed by X-ray, color Doppler ultrasound （ abdominal paracentesis. Operations were performed after the diagnosis： Results Seventeen patients were cured and 1 were dead. The cure rate was 53.13%. The death was connected with low birth weight children, delayed diagnosis misdiagnosis, infection, shock, damages of multiple organs and other factors. Conclusions Early diagnosis preoperative deal, reasonable choice of surgical technique, routine use of total parenteral nutrition after operation strengthening the postoperative respiratory and circulatory management, and other comprehensive treatments are the key to improve the efficiency.