Bertuccio F, Asteria C, Montaldi V, Bottura C
Divisione di Chirurgia Generale, Presidio Ospedaliero di Mantova, Italia.
Pediatr Med Chir. 1989 May-Jun;11(3):351-3.
The Authors describe a case of meconium peritonitis in a low birth weight infant with associated malrotation of the intestines. We retrospectively analyzed the surgical approach during the stages of the disease. The purpose of this study is to stress a conservative surgical therapy (peritoneal cavity toilette and ileostomy), followed thereafter by intensive care, which should carefully balance metabolic and nutritional needs; it's then possible to perform a second look (canalization) only three mounths later, when a reasonable growth is achieved. A multidisciplinary approach favoured the positive outcome.
作者描述了一例低体重儿合并肠旋转不良的胎粪性腹膜炎病例。我们回顾性分析了疾病各阶段的手术方法。本研究的目的是强调一种保守的手术治疗方法（腹腔冲洗和回肠造口术），随后进行重症监护，重症监护应仔细平衡代谢和营养需求；只有在三个月后实现合理生长时，才有可能进行二次探查（疏通）。多学科方法有利于取得积极结果。
