Sharma A K, Shekhawat N S, Agrawal L D, Chaturvedi V, Kothari S K, Goel D
Department of Pediatric Surgery, Sir Padampat Mother and Child Health Institute, S.M.S. Medical College, Jaipur, India.
Pediatr Surg Int. 2000;16(7):478-82. doi: 10.1007/s003830000393.
During a 25-year period (1972-1996), 585 patients with esophageal atresia with or without tracheoesophageal fistula were treated at the Department of Pediatric Surgery, SMS Medical College, Jaipur, India. Increasing awareness of the anomaly has led to early detection and referral with fewer pulmonary complications. For purposes of analysis the period has been divided into five phases, with a steady decline in overall mortality observed from 95.4% in phase 1 to 41% in phase V. Although postoperative complications have also shown a declining trend, delay in diagnosis, prematurity, low birth weight, delayed arrival at the surgical centers, sepsis, pulmonary complications including pneumonitis, and inadequate nursing care all continue to contribute substantially to lower the survival in developing countries such as ours.
在1972年至1996年的25年期间，印度斋浦尔SMS医学院小儿外科治疗了585例患有食管闭锁且伴有或不伴有气管食管瘘的患者。对该异常情况认识的提高导致了早期发现和转诊，肺部并发症减少。为了进行分析，该时期被分为五个阶段，总体死亡率从第一阶段的95.4%稳步下降至第五阶段的41%。尽管术后并发症也呈下降趋势，但诊断延迟、早产、低出生体重、到达手术中心延迟、败血症、包括肺炎在内的肺部并发症以及护理不足，在我们这样的发展中国家，这些因素仍然是导致生存率降低的重要原因。
