Flores-Nava G, Joachín-Roy H, Rodríguez-Cueto G
Unidad de Cuidados Intensivos Neonatales, Hospital de Ginecobstetricia, Dr. Luis Castelazo Ayala, Instituto Mexicano del Seguro Social, México D.F.
Bol Med Hosp Infant Mex. 1993 Oct;50(10):749-53.
We report eight newborn with esophageal perforation. They were preterm infants and received mechanical ventilation for respiratory problem. Six were associated with pneumothorax, three of they show aberrant way of an orogastric tube, and another three show milk fluid in the pleural tube installed for pneumothorax. The management was fasting during ten days, parenteral nutrition, wide spectrum antibiotics, and prevention of complications; surgery treatment is not the first of all recommended at present.
我们报告了8例新生儿食管穿孔病例。他们均为早产儿,因呼吸问题接受机械通气。6例伴有气胸,其中3例显示鼻胃管置入异常,另外3例在用于气胸的胸腔引流管中出现乳糜液。治疗措施为禁食10天、肠外营养、广谱抗生素及预防并发症;目前不首先推荐手术治疗。