尼日利亚一家三级医院儿童肠梗阻的模式与结局
Pattern and outcome of childhood intestinal obstruction at a tertiary hospital in Nigeria.
作者信息
Ogundoyin O O, Afolabi A O, Ogunlana D I, Lawal T A, Yifieyeh A C
机构信息
Department of Surgery, College of Medicine, University College Hospital, Ibadan, Nigeria.
出版信息
Afr Health Sci. 2009 Sep;9(3):170-3.
BACKGROUND
Intestinal obstruction is a common cause of pediatric surgical emergency with a high morbidity and mortality in Africa.
METHODS
A retrospective review of cases managed from January 1996 to December 2005 at a teaching hospital in Southwestern, Nigeria was done to examine the pattern of causes of intestinal obstruction in children and the management outcome.
RESULTS
One hundred and thirty cases were seen over the study period with an age range of 2 hours to 14 years. Majority (61.24%) were infants, while 18.46% were neonates. Fifty-five cases (42.31%) were due to congenital causes while the rest were of acquired causes. The major causes of intestinal obstruction in the study were intussusception (29.23%), anorectal malformations (22.31%), obstructed inguinoscrotal hernia (16.92%) and Hirschsprung's disease (13.85%). Surgical site infection and sepsis were the commonest complications observed with an overall complication rate of 60.78%. The mortality rate was 3.08% and most (75%) occurred in neonates.
CONCLUSION
While mortality as an outcome of management is low, the morbidity was very high in this study.
背景
肠梗阻是儿科外科急症的常见病因，在非洲发病率和死亡率都很高。
方法
对1996年1月至2005年12月在尼日利亚西南部一家教学医院处理的病例进行回顾性研究，以检查儿童肠梗阻的病因模式及治疗结果。
结果
在研究期间共观察到130例病例，年龄范围为2小时至14岁。大多数（61.24%）是婴儿，18.46%是新生儿。55例（42.31%）是先天性病因，其余为后天性病因。本研究中肠梗阻的主要病因是肠套叠（29.23%）、肛门直肠畸形（22.31%）、腹股沟阴囊疝嵌顿（16.92%）和先天性巨结肠（13.85%）。手术部位感染和脓毒症是观察到的最常见并发症，总体并发症发生率为60.78%。死亡率为3.08%，大多数（75%）发生在新生儿中。
结论
虽然作为治疗结果的死亡率较低，但本研究中的发病率非常高。
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