Wilkins B M, Spitz L
Br J Surg. 1986 Sep;73(9):762-4. doi: 10.1002/bjs.1800730929.
Of 649 neonates undergoing laparotomy in a 10 year period, 54 (8.3 per cent) developed adhesion related intestinal obstruction requiring surgical treatment. In 16 infants the obstruction followed a period of prolonged postoperative ileus, while the remaining 38 had completely recovered from the previous surgical procedure before the development of obstruction. The adhesion obstruction occurred after a single neonatal laparotomy in 35 cases but the remaining 19 had undergone subsequent laparotomies; 75 per cent of the obstructions developed within 6 months and 90 per cent within 1 year of surgery. The highest risk groups were infants undergoing correction of gastroschisis (15.4 per cent) and malrotation (15 per cent). There were nine deaths, two of which were a direct consequence of the adhesion obstruction.
在10年期间接受剖腹手术的649例新生儿中，54例（8.3%）发生了粘连相关的肠梗阻，需要手术治疗。16例婴儿的梗阻发生在术后长时间肠梗阻之后，其余38例在梗阻发生前已从上一次手术中完全恢复。35例粘连性梗阻发生在单次新生儿剖腹手术后，但其余19例随后又接受了剖腹手术；75%的梗阻发生在术后6个月内，90%发生在术后1年内。风险最高的群体是接受腹裂修补术（15.4%）和肠旋转不良矫正术（15%）的婴儿。有9例死亡，其中2例是粘连性梗阻的直接后果。
