82例新生儿消化道穿孔诊治分析

目的总结新生儿消化道穿孔临床表现特点及治疗的经验。方法选取本院自2005年7月至2013年8月收治的消化道穿孔患儿为对象,分析其临床表现,总结治疗经验及效果。结果82例患儿中,未予手术,放弃治疗8例;手术病例共74例,手术治愈63例,包括因各种原因再手术治愈3例;手术后病情继续恶化,最终死亡11例。结论胃穿孔更容易发生在较小的年龄,肠穿孔可发生在新生儿的各个时期。该类患儿往往合并有低蛋白、代谢紊乱、毛细血管渗漏综合征、严重细菌感染,耐药菌的并不少见。故除手术外,该类患儿的治疗还应该是一个综合治疗。

Clinical analysis of diagnosis and treatment in neonatal gastrointestinal perforation

Objetive To summarize the experience of clinical diagnosis and treatment in neonatal gas-trointestinal perforation.Methods Choose neonatal patients who suffering from gastrointestinal perforation dur-ing July 2005 to January 2013 in our hospital. Results In 82 cases,63 cases were cured,8 cases gave up treatment,11 cases continued to deteriorate,and finally died.the mortality of 22.0%.3 cases were reoperated because of postoperative complications. Conclusions Gastric perforation are more likely to happen in early age,bowel perforation newborns can occur in any time during the neonatal period.These patients often have low protein,metabolic disorders,capillary leak syndrome,severe bacterial infection,drug resistant bacteria are not uncommon,In addition to surgery,these patients should be also given a comprehensive treatment.