新生儿自发性结肠穿孔的诊断和治疗

Diagnosis and treatment of new-born spontaneous perforation of colon

目的 :探讨新生儿自发性结肠穿孔的诊断和治疗。方法 :对 6例新生儿自发性结肠穿孔的临床资料予以分析。右半结肠穿孔 2例行修补术 ,左半结肠穿孔 4例行双腔襻式造瘘。结果 :2例低出生体重儿死亡 ,另 4例存活。结论 :手术以双腔造瘘即时开放为宜 ,早期手术是治疗成功的关键。

Objective:To investigate the diagnosis and treatment of new born spontaneous perforation of colon.Methods:The data of six cases of new born spontaneous perforation of colon were analyzed.Two cases whose perforation was on the right semi colon were performed and four cases whose perforation was half of colon,underwent double channel climbing style fistulation.Results:Two cases of very light weight died and four survived.Conclusions:Double channel fistulation or open fistulation is the choice of operation.Early operation is the key to successful treatment.