Krause H, Rissmann A, Hass H-J, Kroker S, Meyer F
Universitätsklinikum Magdeburg A. ö. R., Arbeitsbereich Kinderchirurgie, Klinik für Allgemein-, Viszeral- und Gefäßchirurgie, Magdeburg, Deutschland.
Zentralbl Chir. 2011 Oct;136(5):458-70. doi: 10.1055/s-0031-1283775. Epub 2011 Oct 18.
Due to the advances in neonatal intensive care medicine, prenatal ultrasound-guided diagnostic measures and paediatric surgical options, conditions have been established to achieve long-term survival in newborns with severe diseases. In addition, this means that the "non-paediatric" physician can be increasingly confronted with patients who would not have survived childhood some decades ago. Therefore, the article summarises concisely selected diseases of premature infants and newborns, e. g., congenital abdominal wall defects, and outlines possible long-term consequences based on the surgical interventions and their basic diseases, respectively, which need to be adequately cared for in the case of a surgical disease of the former patient of paediatric surgery. The overview cannot be considered as a complete revision course; however, it might constitute a basic outline for thought-provoking impulses for personal professional skills and expertise in managing such patients in later age from a surgical perspective.
由于新生儿重症监护医学、产前超声引导诊断措施以及小儿外科手术选择方面的进展,已具备使患有严重疾病的新生儿实现长期存活的条件。此外,这意味着“非儿科”医生会越来越多地面对几十年前无法度过童年的患者。因此,本文简要总结了早产儿和新生儿的一些特定疾病,例如先天性腹壁缺陷,并分别根据手术干预及其基础疾病概述了可能产生的长期后果,对于小儿外科的 former patient(此处可能有误,原词不明确且影响理解,推测可能是“既往患者”之类意思)的外科疾病,需要对这些后果进行充分护理。本概述不能被视为完整的复习课程;然而,它可能构成一个基本框架,为日后从外科角度管理此类患者时激发个人专业技能和专业知识提供引人深思的冲动。