[胎粪性腹膜炎：基于53例病例的结论]

[Meconial peritonitis: conclusions based on 53 cases].

作者信息

Martínez Ibáñez V, Boix-Ochoa J, Lloret Roca J, Ruiz H

机构信息

Departamento Cirugía Pediátrica, Hospital Materno-Infantil Valle Hebrón, Barcelona.

出版信息

Cir Pediatr. 1990 Apr;3(2):80-2.

PMID:2252854

Abstract

The study of 53 patients with neonatal meconium peritonitis (MP) over a twenty-two year-period, the largest surgically-treated series at a single centre, is presented. Three different types of MP were established: Generalized, Localized and Cystic. Prognosis and surgical techniques to be used were determined by each MP type. The following survival rates achieved: for Generalized MP, 70% with "one stage" and 89% with "two stage"; for Localized MP, 80% with "one stage" and 100% with "two stage" and for Cystic MP, 57% with "two stage". The overall survival rate was 77%, rising to 85% in the last fifteen years, probably due to the advent of parenteral nutrition and advances in neonatal intensive care.

摘要

本文介绍了在22年期间对53例新生儿胎粪性腹膜炎（MP）患者的研究，这是单一中心接受手术治疗的最大系列病例。确定了三种不同类型的MP：全身性、局限性和囊肿性。每种MP类型决定了预后和要采用的手术技术。获得了以下生存率：全身性MP，“一期”手术为70%，“二期”手术为89%；局限性MP，“一期”手术为80%，“二期”手术为100%；囊肿性MP，“二期”手术为57%。总体生存率为77%，在过去15年中升至85%，这可能归因于肠外营养的出现和新生儿重症监护的进展。