Joppich I, Helferich G
Prog Pediatr Surg. 1979;13:193-7.
Infectious complications such a peritonitis, septicaemia and pneumonia are the most important factors causing postoperative death in surgery of intestinal obstruction in children. In a series of 237 patients with intestinal obstruction with 21 fatalities, the percentage of deaths due to infection was 85.7%. In 1967 to 1976, 259.301 children died in Germany, among them 1541 suffering from intestinal obstruction (0.6%); that means 3.1% of the 49.540 patients who died of intestinal obstruction were children. The mortality of intestinal obstruction in infancy and childhood had fallen to one third of the original during this period, but the mortality in newborn infants fell only by 50%. This correlates with the decreasing birth rate, so that the lower death rate due to intestinal obstruction seems to be explained by a lower number of neonates. The literature shows that relative mortality (20%) from intestinal obstruction in the newborn has, however, remained constant during the last 20 years.
诸如腹膜炎、败血症和肺炎等感染性并发症是导致儿童肠梗阻手术后死亡的最重要因素。在一组237例肠梗阻患者中有21例死亡，因感染导致的死亡比例为85.7%。1967年至1976年期间，德国有259301名儿童死亡，其中1541名患有肠梗阻（占0.6%）；这意味着在49540例死于肠梗阻的患者中，3.1%为儿童。在此期间，婴儿期和儿童期肠梗阻的死亡率降至原来的三分之一，但新生儿的死亡率仅下降了50%。这与出生率下降相关，因此肠梗阻死亡率的降低似乎可以用新生儿数量减少来解释。然而，文献表明，新生儿肠梗阻的相对死亡率（20%）在过去20年中一直保持不变。
