Zamir O, Goldberg M, Udassin R, Peleg O, Nissan S, Eyal F
Department of General and Pediatric Surgery, Hadassah University Hospital, Mount Scopus, Jerusalem, Israel.
J Pediatr Surg. 1988 Apr;23(4):335-7. doi: 10.1016/s0022-3468(88)80201-x.
Spontaneous localized perforation of the gastrointestinal tract, unrelated to mechanical intestinal obstruction and with no evidence of necrotizing entrocolitis (NEC), occurred in 20 neonates. Three perforations were located in the stomach, 11 in the small intestine, and six in the colon. Maternal obstetric complications as well as prematurity and postnatal distress were common in these patients. The overall survival rate was 80%. There was no late gastrointestinal symptoms in the survivors. Whether idiopathic perforation of the gastrointestinal tract results from a localized form of NEC or from a distinct lesion of unknown etiology has not yet been ascertained. Some ideas concerning the etiology of this entity, as well as some diagnostic aspects are discussed.
20例新生儿发生了与机械性肠梗阻无关且无坏死性小肠结肠炎（NEC）证据的自发性胃肠道局限性穿孔。3例穿孔位于胃，11例位于小肠，6例位于结肠。这些患儿中，母亲产科并发症、早产和出生后窘迫很常见。总体生存率为80%。幸存者无晚期胃肠道症状。胃肠道特发性穿孔是由局限性NEC形式还是由病因不明的独特病变引起，尚未确定。本文讨论了关于该实体病因的一些观点以及一些诊断方面的问题。
