[胃和腹:发生率和结果]
Kristin Fjola Reynisdottir1, Hulda Hjartardottir2, Thrainn Rosmundsson3
1Faculty of medicine, University of Iceland, Child and Adolescent Psychiatric Department, Landspitali - National University Hospital of Iceland.
Laeknabladid
|February 29, 2024
概括
这项研究追踪了冰岛的胃和脑,发现胃发病率与全球的发病率一致,而脑发病率较低,部分原因是妊娠中断. 相关异常在两个条件之间有所不同.
科学领域:
- 儿科手术 儿科手术
- 新生儿科学 新生儿科学
- 医学遗传学 医学遗传学
背景情况:
- 胃和腹是常见的先天性腹壁缺陷.
- 了解它们的发病率和相关条件对于患者的治疗结果至关重要.
研究的目的:
- 调查冰岛的胃和脑的发病率,相关异常和临床过程.
- 为了比较这两个条件的特征和结果.
主要方法:
- 从1991年到2020年,对冰岛儿童医院新生儿重症监护病房 (NICU) 住院的新生儿进行了回顾性研究.
- 包括被诊断为产前或死后的胎儿与妊娠终止.
主要成果:
- 确定了54名患有胃的婴儿和5名患有腹的婴儿;发生率分别为4.11和0.38/10,000例出生.
- 胃的相关异常主要是胃肠道/泌尿系统;在腹中,心脏,中枢神经和骨系统是最常见的,有16名胎儿患有三症18.
- 母亲年龄16-20岁与更高的胃风险有关;初级关闭成功率为86%,导致更早的养和放出. 总体存活率为95%. 总体存活率为95%.
结论:
- 冰岛的胃病发病率与国际数据相匹配,但脑病发病率较低,可能是由于妊娠中断.
- 奥姆法洛塞尔与严重的异常有关,而不是胃.
- 主要关闭胃与更好的临床过程相关,尽管一些婴儿需要长时间的肠外营养来治疗短肠综合征.
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