Jona J Z
Department of Surgery, Medical College of Wisconsin Milwaukee, USA.
Am J Perinatol. 1996 May;13(4):223-6. doi: 10.1055/s-2007-994368.
Six neonates with hernia of the umbilical cord (HUC) and associated patent omphalomesenteric duct (POMD) were treated in our hospital in a 10-year period and are reported in order to emphasize the potential hazard of clamping the bowel at the time of the handling of the umbilicus. Any unusual thickening of the base of the cord along with even the most minute fistula opening to its side should alert the physician to the existence of these combined anomalies. The cord in such patients must be clamped a safe distance away and early pediatric surgical consultation must be contemplated. Obstetricians, pediatricians, and nurses who customarily clamp, manipulate, or shorten the cord in the delivery room or upon arrival in the nursery should be aware of this not-so-rare combination of anomalies of the umbilical cord and the intestines.
在10年期间，我院共治疗了6例患有脐疝（HUC）及相关卵黄管未闭（POMD）的新生儿，并进行报告，以强调处理脐带时钳夹肠管的潜在风险。脐带基部任何异常增厚，即使是其侧面最微小的瘘口，都应提醒医生注意这些合并畸形的存在。对于此类患者，必须在安全距离处钳夹脐带，并应尽早考虑小儿外科会诊。通常在产房或新生儿室钳夹、操作或缩短脐带的产科医生、儿科医生和护士，应了解这种并非罕见的脐带与肠道联合畸形情况。
