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[98例C型食管闭锁的围手术期管理(1970 - 1980年)]

[Perioperative management of 98 cases of type C esophageal atresia (1970-1980) ].

作者信息

Devictor D, Himon F, Benichou J J, Checoury A, Huault G

出版信息

Arch Fr Pediatr. 1982 May;39(5):283-8.

PMID:7125826
Abstract

We report our experience about 98 cases of type C esophageal atresia admitted to our unit from 1970 to 1980. 78.6% underwent successful anastomosis; 65.3% were considered at high risk because of delayed diagnosis (34.6%), low weight (22.4%) or associated malformations (15.3%). These latest two were especially responsible for mortality. Our results are encouraging and stress the need for a high quality of surgical management, for a systematic detection of this malformation and for a delayed surgical procedure allowing a better preoperative care.

摘要

我们报告了1970年至1980年期间收治于我院的98例C型食管闭锁病例的经验。78.6%的病例成功进行了吻合术;65.3%的病例因诊断延迟(34.6%)、体重低(22.4%)或合并畸形(15.3%)被视为高危病例。后两者是导致死亡的主要原因。我们的结果令人鼓舞,并强调了高质量手术管理、系统检测这种畸形以及延迟手术以便进行更好的术前护理的必要性。

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