新生儿脐膨出临床治疗  

Treatment of omphalocele in neonate

作　　者：董欣竞[1] 周德凯[1] 李晓庆[1] 

机构地区：[1]重庆医科大学附属儿童医院,400014

出　　处：《重庆医学》2004年第9期1364-1365,共2页Chongqing medicine

摘　　要：目的　探讨新生儿脐膨出治疗方式的选择。方法　回顾性分析我院收治 30例脐膨出患儿的临床资料。结果　男2 3例 ,女 7例 ,年龄 0～ 9d,治愈 2 5例。小型脐膨出 16例 ,采用Ⅰ期修补术 ,均获痊愈。巨型脐膨出 14例 ,治愈 9例 ,其中 3例采用Ⅰ期修补术 ,死亡 2例 ;6例采用分期修补术 ,死亡 1例 ;5例采用囊膜结痂剂涂布 ,Ⅱ期修复腹壁缺损 ,治愈 3例。结论　对于小型脐膨出患儿应尽早实施Ⅰ期手术。巨型脐膨出应采用分期手术。此外预防感染 ,保暖和静脉输液是获得较好疗效的重要措施。ObjectiveTo evaluate the methods of early medical treatment for omphalocele in neonate.Methods The clinical data of 30 cases of omphalocele were studied retrospectively.Results In 30 cases,23 were male,7 were female,finally,25 of them enjoyed good recoveries.The size of omphalocele defect varied from 2cm to 10cm.In the group,16 cases whose size of defect ranged from 2cm to 6cm received primary repair with good outcome.The rest 14 cases whose defect were beyond 6cm were treated with strategies as below:primary repair in 3 cases,with 2 death; staging-reduction repair in 6 cases,with 1 death; and for the rest 5 cases with poor conditions,conservative managements using topical application of escharotic agents were firstly adopt,then delayed repair were done after 6 to 12 months,and achieved success finally in 3 cases.Conclusions Primary repair is recommend to omphalocele with small defect,while,staging-reduction repair is the most safety and reliable method for cases with giant defect.Moreover,the prevention of the baby from infections or hypothermia,and the maintaining of intravenous fluids are the key managements to achieve the better effect.

关 键 词：脐膨出 外科治疗 

分 类 号：R722.134[医药卫生—儿科]