Mestel A L, Trusler G A, Humphreys R P, Simpson J S
Can Med Assoc J. 1966 Jul 30;95(5):201-4.
Between 1947 and 1964, 32 infants in the first two weeks of life were seen at The Hospital for Sick Children, Toronto, with radiological evidence of free air in the peritoneal cavity. The clinical picture and the radiological signs in these infants are described. Perforations were found at all levels of the gastrointestinal tract. The overall mortality rate was 59%. The stomach was the most common site of perforation; it occurred in 11 children, of whom five survived. Prompt surgery was essential for survival, but when immediate laparotomy is not practical, abdominal paracentesis may prove to be life-saving.
1947年至1964年间，多伦多病童医院诊治了32名出生后两周内的婴儿，这些婴儿经放射检查显示腹腔内有游离气体。本文描述了这些婴儿的临床表现和放射学征象。胃肠道各段均发现有穿孔。总死亡率为59%。胃是最常见的穿孔部位；11名儿童发生胃穿孔，其中5名存活。及时手术对存活至关重要，但当立即剖腹手术不可行时，腹腔穿刺术可能是救命的。
