[新生儿自发胃穿孔死亡率的预测因素:多中心研究]
M Yu Tishukov1, I I Tishukova2, V M Voropaev3
1Vernadsky Crimean Federal University, Simferopol, Russia.
Khirurgiia
|September 9, 2025
概括
新生儿自发胃穿孔 (SGP) 的死亡率很高. 新生儿呼吸困扰综合征 (RDS) 显著增加了SGP的婴儿死亡的风险.
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
- 关键护理医学 关键护理医学
背景情况:
- 新生儿自发胃穿孔 (SGP) 是一种罕见但严重的手术紧急情况.
- 由于SGP的死亡率仍然很高,因此需要确定预后因素.
研究的目的:
- 分析临床数据并确定诊断为SGP的新生儿死亡率的预测因素.
主要方法:
- 进行了两中心的回顾性队列研究.
- 包括在1999年至2023年期间被诊断患有SGP的新生儿.
- 患者被分为幸存者和非幸存者,以确定预后因素.
主要成果:
- 该研究包括11名新生儿,死亡率高54.5%.
- 常见的症状包括腹部膨胀和呼吸困难;所有人都有肺.
- 新生儿呼吸困扰综合征 (RDS) 被确定为一个显著的预后因素,增加了39倍的死亡风险 (OR 39.0,p=0.04).
结论:
- RDS是SGP新生儿死亡率的关键预后因素.
- 确定可修改的因素对于制定SGP有效的预防和治疗策略至关重要.
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