婴儿肥厚性幽门狭窄的近期治疗结果
Recent results of treatment of infantile hypertrophic pyloric stenosis.
作者信息
Zeidan B, Wyatt J, Mackersie A, Brereton R J
机构信息
Department of Surgery, Hospital for Sick Children, London.
出版信息
Arch Dis Child. 1988 Sep;63(9):1060-4. doi: 10.1136/adc.63.9.1060.
Abstract
During the five year period December 1980 to November 1985, 106 infants with hypertrophic pyloric stenosis were treated. There were no operative deaths, but two late deaths occurred from associated abnormalities. The combination of preoperative rehydration, skilled anaesthesia, and the use of the Fredet-Ramstedt operation (pyloromyotomy) have virtually eliminated mortality from uncomplicated infantile hypertrophic pyloric stenosis. The most common complications were gastro-oesophageal reflux in 11 (11%), perforation of the duodenal fornix in nine (8%), and wound infection in five (5%); no wound dehisced.
摘要
在1980年12月至1985年11月的五年期间，对106例肥厚性幽门狭窄婴儿进行了治疗。无手术死亡病例，但有2例因相关异常情况导致晚期死亡。术前补液、熟练的麻醉以及采用弗雷代 - 拉姆斯泰德手术（幽门肌切开术）相结合，实际上已消除了单纯性婴儿肥厚性幽门狭窄的死亡率。最常见的并发症为胃食管反流11例（11%）、十二指肠穹窿穿孔9例（8%）和伤口感染5例（5%）；无伤口裂开情况。
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