新生儿胃肠道穿孔

研究目的探讨新生儿胃肠道穿孔的病因和治疗，以及影响预后的因素。研究方法全组患儿均行腹部X线检查和手术探查、术后监护管理。结果21例患儿中，手术20例，痊愈9例，治愈率42．8％。结论新生儿胃肠道穿孔最常见的病因是NEC（新生儿坏死性小肠结肠炎）。穿孔的治疗应以手术为主。在诸多影响预后的因素中关键在于围手术期的管理和休克的纠正。

Neonatal gestrointestinal perforations

To search for the causes and the therapy of neonatal gestrointestinal perforation and the factors affecting its prognosis.Methods All the patients received abdominal X-ray exam and underwent surgical exploration. Monitor and nursing after operation.Results The Suture and neoplasty in 4 cases of gartric perforatidn, enterectomy and entero-anastomosis in cases of multiple enterobrosis, neoplasty and proximal colostomy in cases of perforation of colon were performed. In 20 cases operated, 11 cases died and the mortality was 55 %.Conclution The most popular cause of neonatal gestrointestinal perforation. is neonatal necrotizing enterocolitis (NEC). The main therapy of the perforations is operation. Of all the factors affection the prognosis, the perioperative care and the treatment of shock could play more important role.