伍连康 余家康 夏慧敏 邹焱 钟微 伍连康(广州市儿童医院外科 510120)余家康(广州市儿童医院外科 510120)夏慧敏(广州市儿童医院外科 510120)钟微(广州市儿童医院外科 510120) 中华小儿外科杂志 2000 0 21 1


    关键词：疝；脐；外科手术；通气机；机械 期刊 zhxrwkzz 0 30-31 临床研究 fur -->


    

摘 要：目的 探讨影响脐膨出预后的因素，评价治疗效果。方法 对37例脐膨出婴儿进行回顾性研究和总结。危重型脐膨出27例，其中巨大脐膨出(直径6cm以上)21例,缺损直径小于5cm者6例。结果 全组治愈26例(70.27%)，其中危重型治愈19例(19/27);巨大脐膨出治愈16例(16/21);一期修补29例，治愈25例(86.2%);有呼吸机支持组治愈率为85.7%，无呼吸机支持组治愈率为56.25%。结论 危重型脐膨出与预后有密切关系，包括巨大脐膨出、出生时呼吸窘迫(RD)、囊膜破裂和致死性畸形。不应过分强调缺损大小，而应重视危重状态。有效和足够时间的呼吸支持极为重要。

    Critical omphalocele

WU Liankang, YU Jiakang, XIAHuimin

    (Dept. of Pediatric Surgery. Guanzhou Children's Hospital. Guanzhou 510120, China)

Abstract： Objective To evaluate the prognosticfactors and therapeutic results of omphalocele.Methods The reco rds of 37 neonates withomphalocele were reviewed and analysed. Critical omphalo cele was defined as neonates withgiant omphalocele (diameter>6cm), respiratory distress, membrane rupture or fatalanomalies. Results Of them, 27 cases suffered from the critical type. The overallsurvival rate was 70.27% (26/37). The survival rate of the critical type was 70.37%(19/27). The Survival rate of neonates who undervent primary closure was 86.2%(25/29) andof those with and without respiratory support were 85.7% and 56.25% respectively.Conclusions The size of the defect should notbe overemphasized. Adequate respiratory support is more relevant to the prognosis.

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