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儿童腹部手术后的肠梗阻(作者译)

[Intestinal obstruction after child abdominal surgery (author's transl)].

作者信息

Cardoso L, Revillon Y, Pellerin D

出版信息

Chir Pediatr. 1982 Mar-Apr;23(2):87-92.

PMID:7074723
Abstract

From 1957 to 1978, 211 intestinal obstructions were treated at Hôpital des Enfants malades, Paris: 103 coming from our own surgery, 108 from other surgical centers. 24,6% cases are observed in children less than one year old, after neo-natal surgery. 41% are observed between 5 and 9 years of age, at the "appendicitis period". 61% obstructions follow an appendicectomy. 74% of obstructions happen in the first year after surgery, of which 32% in the first month (the early mechanical intestinal obstruction between 8 days and 7 years after the first obstruction: 72% in the first year, of which 30,5% within the first month. Some precisions are given about clinical symptoms, site and intestinal lesions. The study of the preventive surgical procedures (Noble's, or Child-Philip's technics) are not included in this paper.

摘要

1957年至1978年期间,巴黎儿童疾病医院共治疗了211例肠梗阻病例:其中103例来自我们自己的外科手术,108例来自其他外科中心。24.6%的病例是在新生儿手术后1岁以下的儿童中观察到的。41%的病例是在5至9岁的“阑尾炎高发期”观察到的。61%的肠梗阻发生在阑尾切除术后。74%的肠梗阻发生在手术后的第一年,其中32%发生在第一个月(首次梗阻后8天至7年的早期机械性肠梗阻:72%发生在第一年,其中30.5%发生在第一个月)。文中还给出了一些关于临床症状、梗阻部位和肠道病变的详细信息。本文未包括对预防性手术方法(诺布尔氏或蔡尔德-菲利普氏技术)的研究。

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