【摘要】 目的 探讨新生儿小肠闭锁的临床特点、诊断及治疗。方法 对收治的80例小肠闭锁患儿的资料进行回顾性分析。结果 80例新生儿小肠闭锁中，治愈62例(77.5%)，死亡18例(22.5%),30%伴发畸形,随诊1～7年,生长发育良好。结论 早期诊断、早期治疗有利于提高疗效。产前超声检查有利于早期诊断。对于单发小肠闭锁，肠切除肠单层吻合术为理想术式，多个肠端端吻合术+长胃肠减压硅胶管是治疗多发肠闭锁的理想术式。

    【关键词】 小肠闭锁；新生儿；外科学

    Diagnosis and management of small intestinal atresia in neonates

    LIU Hong-Jian,XU Bin,Xu Hong-Jing.

    Department of Gastrointestinal Surgery,Qingdao Children’s Hospital,Qingdao 266011，China

    【Abstract】 Objective To review the clinical feature,diagnosis and management of neonatal small intestine atresia.Methods Retrospective study was carried out on 80 neonatal small intestine atresias over the last 14 years.Results Of them,62 cases were healed(77.5%),18 cases were dead(22.5%),24 cases(30%)associated with other anomalities.The living cases were followed up for 6 months to 3 years,the symptom had not relapse.Conclusion Satisfactory effect can be obtained by early diagnosis and operative treatment.Sonography is an ideal way to early finding intestinal atresias in a fetus.End-to-end single layer anastomosis is an ideal way for monointestinal atresia ,and poly-end-to-end single layer anastomosis +a long gastrointestinal silicone tube for supporting is an ideal way for multipal intestinal atresia. ......