重度智力发育迟缓儿童胃食管反流的手术治疗
Surgical management of gastroesophageal reflux in severely mentally retarded children.
作者信息
Chang J H, Coln C D, Strickland A D, Andersen J M
出版信息
J Ment Defic Res. 1987 Mar;31 ( Pt 1):1-7. doi: 10.1111/j.1365-2788.1987.tb01337.x.
Thirty-three severely mentally retarded children with profound malnutrition and aspiration pneumonitis were treated by gastrostomy and Nissen fundoplication. Early and late complications were 27.3% and 16.6% respectively. Mortality was 9.4%. All surviving patients gained weight. Time required for feeding was greatly reduced. This study supports earlier operative intervention for the mentally retarded child with gastroesophageal reflux, malnutrition and aspiration pneumonitis.
33名患有严重营养不良和吸入性肺炎的重度智障儿童接受了胃造口术和nissen胃底折叠术治疗。早期和晚期并发症发生率分别为27.3%和16.6%。死亡率为9.4%。所有存活患者体重均增加。喂养所需时间大幅减少。本研究支持对患有胃食管反流、营养不良和吸入性肺炎的智障儿童进行早期手术干预。
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