Anatol Trevor I, Vilcov Nikolai S
Department of Clinical Surgical Sciences, Faculty of Medical Sciences, University of the West Indies, St. Augustine Campus, Trinidad and Tobago.
Int Surg. 2009 Apr-Jun;94(2):111-4.
A review was conducted of neonates treated over a 7-year period for gastrointestinal tract perforation secondary to obstruction, for comparison with previous reports. Demographic and clinical characteristics, results of laboratory studies, underlying diagnoses, surgical treatment, and outcomes were studied. Only 1 of the 6 babies was premature. The underlying cause of obstruction was Hirschsprung's disease (HD) twice, duodenal, sigmoid, and rectal atresia, and malrotation with midgut volvulus, once each. The perforation was located in the stomach in two cases, the jejunum in one case, and the large bowel in 3 children. There were no fatalities. Unusual features were that both gastric perforations were secondary to duodenal obstruction, and only 1 infant was premature. The jejunum was affected once, secondary to HD of the descending colon. In contrast to previous reports, there were no perforations of the ileum caused by intestinal obstruction in this neonatal population during the period reviewed.
对7年间因梗阻继发胃肠道穿孔而接受治疗的新生儿进行了一项回顾性研究，以便与之前的报告进行比较。研究了人口统计学和临床特征、实验室检查结果、潜在诊断、手术治疗及预后情况。6例患儿中仅1例为早产儿。梗阻的潜在病因分别为先天性巨结肠（HD）2次，十二指肠、乙状结肠和直肠闭锁各1次，以及中肠旋转不良伴中肠扭转1次。穿孔部位2例位于胃，1例位于空肠，3例位于大肠。无死亡病例。不寻常的特点是，2例胃穿孔均继发于十二指肠梗阻，且仅1例婴儿为早产儿。空肠受累1次，继发于降结肠HD。与之前的报告相比，在所审查期间，该新生儿群体中没有因肠梗阻导致的回肠穿孔。
