新生儿期胃肠道穿孔：十年经验
Gastrointestinal perforations in neonatal period: experience over 10 years.
作者信息
Sakellaris George, Partalis Nikolaos, Dede Olga, Alegakis Athanasios, Seremeti Chrisa, Korakaki Eftichia, Giannakopoulou Christina
机构信息
Department of Paediatric Surgery, University Hospital of Heraklion, Crete, Greece.
出版信息
Pediatr Emerg Care. 2012 Sep;28(9):886-8. doi: 10.1097/PEC.0b013e31826beb0c.
AIM
This report describes our experience concerning gastrointestinal perforation due to necrotizing enterocolitis during a 10-year period.
METHOD
The cases of 27 gastrointestinal perforations, which were treated in our hospital, were retrospectively reviewed.
RESULTS
All patients were neonates and infants up to the age of 2 months. The study population consisted of 16 boys (59.3%) and 11 girls (40.7%). Twenty-one neonates (77.8%) were preterm, and the median gestational age was 28 weeks. Twenty-four cases (88.9%) of perforation underwent laparotomy. The overall mortality was 63%. Seventy-six percent of the preterm neonates and only 16.7% of the full-term neonates died.
CONCLUSIONS
Gastrointestinal perforation is still connected with a high mortality rate, with necrotizing enterocolitis being the main cause of death. The neonates who did not undergo surgery all died.
目的
本报告描述了我们在10年期间关于坏死性小肠结肠炎所致胃肠道穿孔的经验。
方法
对我院治疗的27例胃肠道穿孔病例进行回顾性分析。
结果
所有患者均为2个月龄以下的新生儿和婴儿。研究对象包括16名男孩（59.3%）和11名女孩（40.7%）。21名新生儿（77.8%）为早产儿，中位胎龄为28周。24例（88.9%）穿孔患者接受了剖腹手术。总死亡率为63%。76%的早产儿死亡，而足月儿的死亡率仅为16.7%。
结论
胃肠道穿孔的死亡率仍然很高，坏死性小肠结肠炎是主要死因。未接受手术的新生儿全部死亡。
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