Bower R J, Bell M J, Ternberg J L, Cobb M L
Surgery. 1982 Jan;91(1):52-5.
Recent clinical reports suggest that the majority of neonates with gastroschisis are best managed with a silon pouch technique. Our results with primary closure and short-term ventilatory assistance show a survival rate equal to that of the silon pouch technique. In addition, multiple operations and the chances of complications related to the pouch are avoided. No complications relating to the ventilatory assistance were encountered. Better pediatric ventilators and improved pediatric respiratory management allow this technique to be used for gastroschisis now, whereas 10 years ago the complications ith neonatal ventilators may have outweighed the morbidity of the silon pouch.
近期临床报告表明，大多数腹裂新生儿采用硅胶袋技术治疗效果最佳。我们采用一期缝合和短期通气支持的结果显示，存活率与硅胶袋技术相当。此外，还避免了多次手术以及与袋子相关的并发症风险。未出现与通气支持相关的并发症。如今，更好的儿科呼吸机和改进的儿科呼吸管理使得该技术可用于腹裂治疗，而在10年前，新生儿呼吸机引发的并发症可能超过了硅胶袋带来的发病率。
