Sakellaris George, Partalis Nikolaos, Dede Olga, Alegakis Athanasios, Seremeti Chrisa, Korakaki Eftichia, Giannakopoulou Christina
Department of Paediatric Surgery, University Hospital of Heraklion, Crete, Greece.
Pediatr Emerg Care. 2012 Sep;28(9):886-8. doi: 10.1097/PEC.0b013e31826beb0c.
This report describes our experience concerning gastrointestinal perforation due to necrotizing enterocolitis during a 10-year period.
The cases of 27 gastrointestinal perforations, which were treated in our hospital, were retrospectively reviewed.
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.
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.
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。
对我院治疗的27例胃肠道穿孔病例进行回顾性分析。
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%。
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。
