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婴儿造口术并发症

Enterostomy complications in infants.

作者信息

Festen C, Severijnen R S, vd Staak F H

机构信息

Pediatric Surgical Center, Catholic University, Nijmegen, The Netherlands.

出版信息

Acta Chir Scand. 1988 Sep;154(9):525-7.

PMID:3201865
Abstract

A retrospective review of 48 infants, less than one year of age, with enterostomies was carried out to analyse the complications. Early complications were encountered in 3 patients (5%). Stoma complications occurred in 7 patients (14.6%) and revision was required in 2 cases. Total or near total parenteral nutrition was needed in 23 patients (48%). Of the 25 who tolerated oral feeding, 16 (64%) required extra sodium in their diet. Stoma-closure in 37 patients had a leakage rate of 8% and no mortality. Careful attention to technical details, diligent postoperative stoma care and early closure of the enterostomy if possible, seems to be the best way of avoiding complications.

摘要

对48例年龄小于1岁的行肠造口术的婴儿进行回顾性研究以分析并发症。3例患者(5%)出现早期并发症。7例患者(14.6%)发生造口并发症,其中2例需要进行修复。23例患者(48%)需要全肠外营养或接近全肠外营养。在25例能够耐受经口喂养的患者中,16例(64%)在饮食中需要额外补充钠。37例患者进行造口关闭术,渗漏率为8%,无死亡病例。认真关注技术细节、术后精心护理造口以及尽可能早期关闭肠造口,似乎是避免并发症的最佳方法。

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