Parker J J, Mikity V G
Calif Med. 1966 Jan;104(1):35-40.
Records of 25 patients with intestinal perforation in early infancy who were treated at the Los Angeles County General Hospital in a period of 15 years were reviewed. Sixteen had roentgen evidence of pneumoperitoneum, and nine did not. The mortality rate was 94 per cent in the group with pneumoperitoneum, 78 per cent in the other, and 88 per cent overall. Multiple sites in the gastrointestinal tract were involved, and the causes of the lesions were diverse and frequently obscure. Prematurity, obstetrical and iatrogenic complications, and congenital anomalies were factors often associated with intestinal perforation. Roentgen features appeared to offer the best hope for diagnosis and appropriate treatment.
回顾了洛杉矶县综合医院15年间收治的25例婴儿早期肠穿孔患者的记录。16例有气腹的X线证据，9例没有。气腹组的死亡率为94%，另一组为78%，总体死亡率为88%。胃肠道多个部位受累，病变原因多样且常常不明。早产、产科和医源性并发症以及先天性异常是常与肠穿孔相关的因素。X线特征似乎为诊断和适当治疗提供了最大希望。
