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目的 探讨新生儿自发性胃破裂病因以及成活相关因素。 方法 总结分析了我院自成立新生儿外科以来治疗的2 2例胃破裂病例相关的临床、病理以及手术等资料。 结果 12例病理检查中 9例胃壁肌层发育不良 ,有窒息史者 8例 ;2 2例胃破裂成活 10例 ,死亡 12例 ,成活率 45 %。 结论 胃破裂病因可能是新生儿胃壁肌层先天发育不完善加之胃内压增高及各种诱发因素如窒息、乏氧或感染所致。提高治愈率的关键在于早期诊断、及时手术以及积极有效的抗休克和正确处理腹膜炎。
Objective To investigate the etiology and related factors of spontaneous rupture in neonates. Methods The clinical, pathological and operative data of 22 cases of gastric rupture treated in our hospital since the establishment of neonatal surgery were summarized and analyzed. Results Of the 12 pathological examination, 9 cases of dysplasia of the gastric wall and muscular layer had 8 cases with history of asphyxia; 22 cases survived gastric rupture and 12 died, the survival rate was 45%. Conclusion The cause of gastric rupture may be caused by imperfect congenital dysplasia of gastric wall muscle in newborn with the increase of gastric pressure and various inducing factors such as asphyxia, hypoxia or infection. The key to increasing the cure rate is early diagnosis, prompt surgery, and active and effective anti-shock and proper treatment of peritonitis.