新生儿嵌顿性腹股沟疝的治疗  

The treatment for newborn with incarcerated hernia

作　　者：董欣竞[1] 周德凯[1] 李晓庆[1] 

机构地区：[1]重庆医科大学儿童医院普通外科,重庆400014

出　　处：《重庆医科大学学报》2007年第6期659-661,共3页Journal of Chongqing Medical University

摘　　要：目的:探讨影响新生儿嵌顿性腹股沟疝诊断及治疗的因素。方法:回顾性分析我院1999年7月至2006年4月收治的34例新生儿嵌顿性腹股沟疝的临床资料。结果:32例行腹股沟探查手术,其中8例行肠切除肠吻合,5例睾丸切除。术后8例有并发症,死亡2例。手术治愈率94.11%,并发症率22.52%,死亡率5.88%。结论:准确掌握手术指征,早期诊断早期手术治疗,术后积极营养支持治疗及防止中毒性休克是提高疗效的关键。Objective：To present the experience in diagnosis and treatment on newbom＇s incarcerated hernia. Methods：The clinical data of 34 cases of newbom＇s incarcerated hernia was analysed from 1999 to 2006. Results：32 cases of newbom＇s incarcerated hernia were treated by operation with 8 cases in intestinal necrosis and 5 cases in spermary necrosis. 2 cases were treated by hands.There are 8 cases with complications and 2 dead cases post-operation. The cure rate of operation,complication rate and mortality were 94.11%,22.52% and 5.88%respectively. Conclusions：The early diagnosis and operation treatment is value for newbom＇s incarcerated hernia. Nutritional supportive treatment and preventing toxic shock are elevation curative effect criticality.

关 键 词：新生儿 腹股沟疝嵌顿 

分 类 号：R726.5[医药卫生—儿科]