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題名 | Gastrointestinal Perforation in Infants: Cases Unrelated to Necrotizing Enterocolitis=與壞死性腸炎無關之嬰幼兒腸胃道穿孔之病例 |
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作者 | 蕭佩宏; 周怡宏; 鄒國英; 張美惠; | 書刊名 | 中華民國小兒科醫學會雜誌 |
卷期 | 34:6 民82.11-12 |
頁次 | 頁429-435 |
分類號 | 417.5641 |
關鍵詞 | 壞死性腸炎; 嬰幼兒; 腸胃道穿孔; Gastrointestinal perforation; |
語文 | 英文(English) |
中文摘要 | 自民國七十三年元月至八十一年三月,台大醫院小兒科共經歷十九例與壞死性腸炎無關的腸胃道破裂。其中十二例(63%)乃足月兒。破裂發生處以小腸最多(47%),胃部居次(32%),大腸再次之(16%)。臨床症狀以腹脹最為常見(95%), 腸音減少或消失居次(74%)。腹腔積氣可在63%病例中發現。約60%病例發生破裂的時間在生後四日內。破裂的原因以自發性者居多(8/19, 42%),其次為由缺血或梗塞而來(5/19,26%)。其死亡率為32%。死亡病例之酸中毒程度較存活例嚴重,且敗血症可見於83%的死亡例。吾人的建議為早期診斷及適當治療為提高存活率最好的作法。 |
英文摘要 | From January 1984 to March 1992, there were 19 infants admitted to our hospital with gastrointestinal perforation not associated with necrotizing enterocolitis. Seven patients (37%) were premature. Six patients (32%) had their perforations located in the stomach, 9 (47%) in the small intestine. and 3(16%) in the colon. The most common clinical presentation was abdominal distention (95%). Pneumoperitoneum was noted only in 12(63%) patients. About 60% of the patients had the perforation occur before 4 days of age. The predominant cause of perforation was unknown, so called spontaneous perforation (8/19, 42%), followed by ischemia or infarction (5/19, 26%). The overall mortality rate was 32%. The non-survivors had more severe metabolic acidosis than the survivors, but there were no differences in the birthweight and gestational ages of these two groups. Sepsis accounted for 83% of the deaths. Early diagnosis and treatment are the best ways to promote survival. |
本系統之摘要資訊系依該期刊論文摘要之資訊為主。