中华小儿外科杂志
中華小兒外科雜誌
중화소인외과잡지
CHINESE JOURNAL OF PEDIATRIC SURGERY
2013年
4期
259-261
,共3页
裴洪岗%毛建雄%张翅%李苏伊
裴洪崗%毛建雄%張翅%李囌伊
배홍강%모건웅%장시%리소이
肠扭转%急腹症%婴儿,新生
腸扭轉%急腹癥%嬰兒,新生
장뉴전%급복증%영인,신생
Intestinal volvulus%Abdomen,acute%Infant,newborn
目的 总结新生儿胃穿孔合并先天性肠旋转不良临床特征.方法 回顾我院诊治的12例新生儿胃穿孔合并肠旋转不良病例,着重将年龄、出生体重、性别、早产、首发症状、穿孔部位、病死率与23例不合并肠旋转不良的胃穿孔病例进行对比分析.结果 合并肠旋转不良的新生儿胃穿孔组(NGPM)平均年龄、平均体重、穿孔发生于胃大弯的比例、病死率、首发症状为呕吐比例分别为(4.92±1.08)d、(3.04±0.70) kg、83.3％、50.0％、58.3％,高于不合并肠旋转不良组(NGP)的(4.09±1.73)d、(2.49±0.74)kg、47.8％、26.1％、17.4％；NGPM组早产儿比例、性别为男性的比例分别为16.7％、75％,低于NGP组的47.8％、91.3％.除首发症状和平均体重外,其他指标差异均无统计学意义.结论 合并肠旋转不良的新生儿胃穿孔可能为十二指肠梗阻的一个继发病症,相对不合并肠旋转不良的新生儿胃穿孔患儿,它有部分特有的临床特征.远端消化道梗阻可以导致新生儿胃穿孔,术中探查整个消化道非常必要.
目的 總結新生兒胃穿孔閤併先天性腸鏇轉不良臨床特徵.方法 迴顧我院診治的12例新生兒胃穿孔閤併腸鏇轉不良病例,著重將年齡、齣生體重、性彆、早產、首髮癥狀、穿孔部位、病死率與23例不閤併腸鏇轉不良的胃穿孔病例進行對比分析.結果 閤併腸鏇轉不良的新生兒胃穿孔組(NGPM)平均年齡、平均體重、穿孔髮生于胃大彎的比例、病死率、首髮癥狀為嘔吐比例分彆為(4.92±1.08)d、(3.04±0.70) kg、83.3％、50.0％、58.3％,高于不閤併腸鏇轉不良組(NGP)的(4.09±1.73)d、(2.49±0.74)kg、47.8％、26.1％、17.4％；NGPM組早產兒比例、性彆為男性的比例分彆為16.7％、75％,低于NGP組的47.8％、91.3％.除首髮癥狀和平均體重外,其他指標差異均無統計學意義.結論 閤併腸鏇轉不良的新生兒胃穿孔可能為十二指腸梗阻的一箇繼髮病癥,相對不閤併腸鏇轉不良的新生兒胃穿孔患兒,它有部分特有的臨床特徵.遠耑消化道梗阻可以導緻新生兒胃穿孔,術中探查整箇消化道非常必要.
목적 총결신생인위천공합병선천성장선전불량림상특정.방법 회고아원진치적12례신생인위천공합병장선전불량병례,착중장년령、출생체중、성별、조산、수발증상、천공부위、병사솔여23례불합병장선전불량적위천공병례진행대비분석.결과 합병장선전불량적신생인위천공조(NGPM)평균년령、평균체중、천공발생우위대만적비례、병사솔、수발증상위구토비례분별위(4.92±1.08)d、(3.04±0.70) kg、83.3％、50.0％、58.3％,고우불합병장선전불량조(NGP)적(4.09±1.73)d、(2.49±0.74)kg、47.8％、26.1％、17.4％；NGPM조조산인비례、성별위남성적비례분별위16.7％、75％,저우NGP조적47.8％、91.3％.제수발증상화평균체중외,기타지표차이균무통계학의의.결론 합병장선전불량적신생인위천공가능위십이지장경조적일개계발병증,상대불합병장선전불량적신생인위천공환인,타유부분특유적림상특정.원단소화도경조가이도치신생인위천공,술중탐사정개소화도비상필요.
Objective To summarize the clinical features of neonatal gastric perforation complicated with intestinal malrotation (NGPM).Methods Twelve patients with NGPM were recruited in this study.The other 23 neonatal gastric perforation patients without malrotation (NGP) were studied as controls.The clinical data including age,birth weight,gender,initial symptom,perforation and mortality were retrospectively analyzed to summarize the clinical features of NGPM.Results Compared with the NGP group,the NGPM group had heavier weight (average weight,3.04 ± 0.70 kg vs 2.49±0.74 kg,P＜0.05),and more frequent vomiting as initial symptom (58.3％ vs 17.4％,P＜0.05).The percentage of premature neonates,male patients,average age at diagnose,and mortality of NGPM group were 16.7％,75％,4.92 ± 1.08 d,and 83.3％,respectively; compared with 47.8％,91.3％,4.09-± 1.73 d,and 47.8％ in NPG group.Of NG-PM group,50.0％ patients had gastric perforation at greater curvature,compared with 26.1％ of NGP group.Among these clinical data,only the differences of average weight and initial symptom frequency were statistically significant between the 2 groups (all P＜0.05).Conclusions NGPM is secondary to the obstruction of duodenum.Exploration of the whole digestive tract is recommended.
