Rickham P P, Zgraggen Y
Prog Pediatr Surg. 1979;13:179-90.
In contrast to the remarkable improvement in the results of operations for oesophageal atresia at the University Children's Hospital, Zurich, the death rate secondary to operations for neonatal intestinal obstruction has remained constantly high between the years 1960 and 1976. The results are distressing especially when it is realised that many of them occurred in infants with good general conditions. The causes of death are analysed and classified according the following criteria: 1. Deaths associated with trisomy 21. 2. Deaths due to the short gut syndrome. 3. Deaths due to severe associated malformations or other conditions. 4. Deaths probably due to surgical mistakes. 5. Deaths due to mistakes in management. The latter group can be subdivided further in deaths due to wrong decision at the primary operation, overlooked medical complications, overlooked surgical complications and mistakes made at subsequent laparotomies.
与苏黎世大学儿童医院食管闭锁手术结果的显著改善形成对比的是，1960年至1976年间，新生儿肠梗阻手术的继发死亡率一直居高不下。尤其当意识到许多死亡病例发生在一般状况良好的婴儿身上时，这些结果令人痛心。根据以下标准对死亡原因进行分析和分类：1. 与21三体综合征相关的死亡。2. 短肠综合征导致的死亡。3. 严重相关畸形或其他情况导致的死亡。4. 可能由于手术失误导致的死亡。5. 管理失误导致的死亡。后一组可进一步细分为初次手术时错误决策导致的死亡、被忽视的医疗并发症、被忽视的手术并发症以及后续剖腹手术时犯下的错误。
