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在早产婴儿患有死角性肠球炎的手术干预的确定

Gerardo Fernández-Ortega¹, Gabriela Del C Morón-García²

¹Servicio de Cirugía Pediátrica, Hospital Materno Perinatal Mónica Pretelini Sáenz, Instituto de Salud del Estado de México.

Boletin medico del Hospital Infantil de Mexico

|December 27, 2023

概括

在早产婴儿中,死性肠球炎 (NEC) 手术是常见的. 临床恶化是主要的手术指标,而放射性发现导致NEC病例的最高死亡率.

科学领域:

新生儿手术新生儿手术
儿科重症监护儿科重症监护
胃肠病学胃肠病学

背景情况:

死性肠球炎 (NEC) 是新生儿的主要手术紧急情况,与高死亡率有关.
目前对NEC的手术指示缺乏共识,特别是在没有肺上皮膜的情况下.
这项研究涉及未成年婴儿与NEC的手术指示和结果.

研究的目的:

为了确定诊断为NEC的早产婴儿的外科治疗指示.
为了确定与手术NEC相关的死亡率在这个人群中.

主要方法:

进行了一项回顾性,观察性,横截面研究.
分析了2017年至2022年在墨西哥托卢卡治疗NEC的早产婴儿的数据.
统计分析包括费舍尔和克鲁斯卡尔-瓦利斯测试.

主要成果:

在236名NEC患者中,52人 (22%) 接受了手术;42例病例有完整的记录.
手术指示包括临床恶化 (33.3%),放射性发现 (31%),实验室改变 (19%) 和阳性体 (16.7%).
手术NEC的整体死亡率为42.9%.

结论:

尽管有医疗管理,但临床恶化是NEC最常见的外科治疗指示.
放射性发现在外科指示中呈现出最高的死亡风险.
实验室异常和体,虽然使用较少,但显示出更好的结果.

关键词:

在外科手术.肠道结肠炎 (内结肠炎) 已经死亡.死性肠道结肠炎 (NECO) 是一种新生儿新生儿的新生儿儿科儿科儿科儿科医院 (Pediatria) 是一个儿童医院.在 Recién nacido 收藏外科手术手术手术

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