新生儿先天性胃壁肌层缺损的外科诊治分析  

Clinical Analysis of Surgical Diagnosis and Treatment for Congenital Defect of Gastric Parietal Muscularis

作　　者：苏乃伟[1] 李新宁[1] 石群峰[1] 

机构地区：[1]广西壮族自治区妇幼保健院外科,南宁530003

出　　处：《中国医药导刊》2012年第7期1130-1131,1133,共3页Chinese Journal of Medicinal Guide

摘　　要：目的:探讨新生儿先天性胃壁肌层缺损的早期诊断及外科治疗措施。方法:回顾性分析15例新生儿先天性胃壁肌层缺损的临床资料,分析总结其诊断和手术治疗转归情况。结果:15例入院后均行腹部X线片提示消化道穿孔,急诊施行手术,经病理证实诊断。其中12例存活,2例术后死亡,1例放弃治疗出院后死亡,切口感染6例,经治疗后愈。结论:先天性胃壁肌层缺损确立诊断后尽早手术探查,彻底切除病变,通畅引流,结合有效的抗感染、抗休克及营养支持是治疗成功的关键。Objective：To explore early diagnosis and treatment method for congenital defect of gastric parietal muscularis.Methods：A retrospective analysis of the clinical data of 15 cases of congenital defect of gastric parietal muscularis,analyzes and summarizes the diagnosis and surgical treatment outcome.Results：All cases were performed after admission made an abdomen X-ray tip gastrointestinal perforation,emergency surgery,and confirmed by pathology diagnosis.12 survived and 3 patients died,6 had infection of incision.All patients were recovered by after treatment.Conclusion：The key to improve the success rate is that after an operation to probe differential diagnosis as early as possible,completely diseased,unobstructed drainage,combined with effective anti-infection,shock and nutrition support treatment.

关 键 词：新生儿 消化道畸形 穿孔 外科手术 

分 类 号：R726.5[医药卫生—儿科]