在基于科学证据的基础上,在治疗新生儿患有隔离胃肠孔的手术方面的实际经验是科学证据
Olga M Gorbatyuk1, Taras V Martyniuk2, Andrey A Momotov1
1SHUPYK NATIONAL HEALTHCARE UNIVERSITY OF UKRAINE, KYIV, UKRAINE.
概括
新生儿中隔离的胃肠道穿孔的手术治疗显示出不同的临床和病理特征,表明它是一个独立的鼻科实体. 早期的手术干预,主要是穿孔关闭,尽管死亡率为21.43%,但预后良好.
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
- 手术病理学手术病理学
背景情况:
- 新生儿胃肠道穿孔是一个关键的手术紧急情况.
- 区分孤立的穿孔与其他原因,如死性肠球炎,对于适当的管理至关重要.
- 了解孤立穿孔的独特病因和表现对于改善结果至关重要.
研究的目的:
- 介绍新生儿与隔离的胃肠穿孔的手术治疗经验.
- 划出孤立胃肠道穿孔的临床和病态特征.
- 评估手术干预和相关预后的有效性.
主要方法:
- 追溯分析71名新生儿的穿孔腹膜炎.
- 详细的临床,实验室,放射,超声波和组织学检查.
- 外科干预包括穿孔关闭和肠间瘤.
主要成果:
- 在14名新生儿身上发现了孤立的胃肠道穿孔.
- 关键的危险因素包括急性出生窒息和呼吸系统病理.
- 形态学发现表明纤维肌肉发育不良;手术关闭是主要的治疗方法.
- 该病例的死亡率为21.43%.
结论:
- 孤立的胃肠道穿孔在新生儿中代表着一个独特的鼻科实体.
- 临床特征包括早产,早期发病和局部病变与中度腹膜炎.
- 遗传性纤维肌肉发育不良症涉及;手术关闭是推的治疗方法,预后通常有利.
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