新生儿单纯肠穿孔临床分析课件.pdfVIP

·336· 空国堑生』L抖盘查!Q竖生箍!!鲞筮!翅 ·论 著· 新生儿单纯肠穿孔临床分析 郭卫红陈永卫侯大为 李樱子 首都医科大学附属北京儿童医院外科’ 【摘要】目的分析新生儿单纯肠穿孔的发病机制、临床特点、外科治疗以及预后。方法 对 例穿孔前合并腹泻、肠炎或其他炎性疾病的病史，穿孔以回盲部(60％)及横结肠脾曲(22％)为多 穿孔为区别于NEC穿孔的独立疾病，有不同发病机制和治疗预后。 【关键词】肠穿孔；腹膜炎；婴儿，新生 ofisolatedintestinal inneonates．GUO Clinicopathologicanalysis perforation Wei—hong，CHEN Children’S 物昭一wei，HOUDa—wei，LIYing-zi．DepartmentofSurgery，Beijing 100045，China To the treatmentand 【Abstract】Objectiveinvestigatepathogenesis，clinicalfeatures，surgical of wasconducted isolatedintestinal neonates．Methods prognosis perforation(IIP)in Retrospectivestudy to casesofliP埘tll16casesofintestinal associatedwith enterocolitis compal屯18 perforation necrotizing toNEC occurredinthoseneonateswith birth and (NEC)．Results weight Comparedgroup，IIP greater inlateneonatal gestationalage．IIPusuanydeveloped P0．05anditsonsetisrelatively oftheIIP caseshad of andinfectionbeforethe historydiarrhea，entemcolitis perforation sitesof wereileocecal withNEC perforation region(60％)andsplenicflexure(22％)．Comparing ratewas the Was group，itsmortality lower(16％傩．56％，PO．05)andprognosis IIPin with its is neonatal is a definiteclinical individual