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新生儿胃肠道穿孔:在一个单一中心的4年经验
Gonca Gerçel1,2, Ali Ihsan Anadolulu3,4
1Department of Pediatric Surgery, Şanlıurfa Training and Research Hospital, Şanlıurfa, Turkey.
African journal of paediatric surgery : AJPS
|September 10, 2024
概括
新生儿胃肠穿孔 (GIP) 仍然是一个关键问题,非死性肠球炎的原因是最常见的. 外科手术是这些新生儿严重疾病的标准治疗方法.
科学领域:
- 新生儿手术 新生儿手术
- 儿科胃肠病学 儿科胃肠病学
- 手术新生儿科手术新生儿科
背景情况:
- 新生儿胃肠道穿孔 (GIP) 在婴儿护理中是一个持续的挑战.
- 尽管有进展,GIP仍然是新生儿发病和死亡的重要原因.
研究的目的:
- 调查新生儿GIP的发病率,管理策略和结果.
- 确定与新生儿GIP相关的主要原因和生存率.
主要方法:
- 在2018年10月至2022年11月期间诊断出GIP的新生儿的回顾性分析.
- 审查患者记录,以收集有关人口统计,临床表现,干预和结果的数据.
主要成果:
- 该研究包括47名新生儿,在NICU患者中,GIP发病率为0.39%. 大多数新生儿是早产 (89.4%),平均妊娠年龄为30.4周.
- 非死性肠球炎 (NEC) 病理占GIP病例的55.3%,包括自发性肠穿孔和胃穿孔. 总体存活率为55.4%. 这是一个令人惊的数字.
- 腹腔切除术是主要的外科手术方法 (91.4%),由于病情危急,一些病例仅通过皮肤疏通或腹腔疏通进行治疗.
结论:
- 胃肠道穿孔是新生儿死亡的主要原因之一.
- 非NEC相关的疾病是GIP的主要原因,影响新生儿胃肠道的各个部分.
- 外科探索仍然是管理新生儿GIP的基石.
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