Patankar Shreeprasad P, Patankar Shilpa S
Department of Pediatric Surgery, Bharati Vidyapeeth University's Bharati Hospital and Medical College, Dhanakawadi, Satara Road, Pune, Maharashatra, India.
J Indian Assoc Pediatr Surg. 2008 Jan;13(1):22-4. doi: 10.4103/0971-9261.42569.
The incidence of birth injuries has decreased considerably because of the identification of risk factors at an earlier stage and taking the decision for caesarian section (LSCS) at proper time. Fractures, nerve palsies and central nervous system injuries comprise the majority of "birth injuries." In this study, we report a newborn that had a birth injury during LSCS. The baby sustained a penetrating abdominal injury by the knife of the surgeon, while performing LSCS. The bowel was injured at two sites, proximal jejunum and descending colon. The baby developed meconeum spillage and peritonitis. Exploratory laprotomy was done and the injuries were identified. The injured portions were resected and bowel continuity was reestablished. The baby had an uneventful recovery.
由于在更早阶段识别出危险因素并在适当时间决定进行剖宫产（低位剖宫产），出生损伤的发生率已大幅下降。骨折、神经麻痹和中枢神经系统损伤构成了“出生损伤”的大部分。在本研究中，我们报告了一名在低位剖宫产期间发生出生损伤的新生儿。在进行低位剖宫产时，婴儿被外科医生的手术刀造成穿透性腹部损伤。肠道在两个部位受伤，分别是近端空肠和降结肠。婴儿出现了胎粪溢出和腹膜炎。进行了剖腹探查并确定了损伤情况。切除了受伤部分并重建了肠道连续性。婴儿恢复顺利。
