新生儿胃肠穿孔的早期诊断和治疗  

Early diagnosis and treatment of gastrointestinal perforation in neonatology

作　　者：张明[1] 

机构地区：[1]肇庆市第一人民医院外科,广东肇庆526021

出　　处：《中国基层医药》2004年第12期1440-1441,共2页Chinese Journal of Primary Medicine and Pharmacy

摘　　要：目的　探讨新生儿胃肠穿孔的诊断和治疗方法。方法　 39例胃肠穿孔新生儿经X线、B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 2 2例 ,治愈率4 3 5 9%。死亡病例与早产低体重儿 ,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、合理选择术式及术后常规应用全静脉营养支持是提高疗效的关键。Objective To explore the early diagnostic and therapeutic method of gastrointestinal perforation in infants.Methods To diagnose whether the infants(39 cases) were gastrointestinal perforation or not by the clinical manifestation,predisposing cause and the results of X ray,B ultrasonography and abdominal puncture;the gastrointestinal perforation should be operated as soon as possible when the diagnosis was made.Results 17 cases were cured,22 cases were dead,the curative rate was 43.59%.The dead were related to the premature infant of low birth weight,deferred diagnosis,misdiagnosis,concurrent infection,shock and multiple organ damage.Conclusion Early diagnosis,thinking highly of pre operation treatment,choosing correct operative procedure and post operation support of total parenteral nutrition is the key to improve the curative effect.

关 键 词：新生儿 胃肠穿孔 诊断 治疗 外科手术 

分 类 号：R722.1[医药卫生—儿科]