食管闭锁的死亡率：可能危险因素的评估（10年经验）
Mortality in esophageal atresia: Assessment of probable risk factors (10 years' experience).
作者信息
Davari Heidar A, Hosseinpour Mehrdad, Nasiri Gilda M, Kiani Gelare
机构信息
Al-Zahra Hospital, Medical University of Isfahan, Isfahan, Iran.
出版信息
J Res Med Sci. 2012 Jun;17(6):540-2.
Abstract
BACKGROUND
Esophageal atresia (EA) is a common congenital anomaly. In this study, we evaluated the mortality and its risk factors in patients born with esophageal atresia.
METHODS AND MATERIALS
A database of 206 consecutive patients treated for EA was developed in ST-Zahra hospital of Isfahan between 1994 and 2004.
RESULTS
In this study, 206 patients were evaluated. The most common type of EA was type C (86.4%). Mortality rate was 56%; it was more common in patients with congenital malformation, in late operation and in low birth weight and premature babies. Sepsis was the most common cause of death.
CONCLUSIONS
For improvement of EA survival, we should improve operation techniques, supportive care, and ICU management. It is also important to operate these patients as soon as possible.
摘要
背景
食管闭锁（EA）是一种常见的先天性畸形。在本研究中，我们评估了食管闭锁患儿的死亡率及其危险因素。
方法和材料
1994年至2004年期间，在伊斯法罕的ST-Zahra医院建立了一个连续206例接受食管闭锁治疗患者的数据库。
结果
在本研究中，对206例患者进行了评估。最常见的食管闭锁类型为C型（86.4%）。死亡率为56%；在先天性畸形患者、手术较晚患者以及低体重和早产儿中更为常见。脓毒症是最常见的死亡原因。
结论
为提高食管闭锁患者的生存率，我们应改进手术技术、支持治疗和重症监护病房管理。尽早对这些患者进行手术也很重要。
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