24例新生兒先天性消化道畸形的臨床分析

Clinical analysis of 24 neonatal congenital gastrointestinal malformations

目的提升新生兒先天性消化道畸形的診治水平。方法回顧性分析鏡湖醫院2009年1月~2021年12月收治的24例新生兒先天性消化道畸形患兒的臨床資料。結果本院新生兒先天性消化道畸形患兒以男性、足月、正常出生體重兒為主,病種以腸旋轉不良、先天性巨結腸及肛門閉鎖為多,少數合併2種畸形,臨床表現為嘔吐、腹脹、排便異常,多數手術後痊癒。結論早期識別症狀及針對性檢查有助儘快診斷和治療,是改善預後,降低死亡率,減少併發症的關鍵。圍手術期的積極配合與綜合治療能有效提高整體的處理水平。

Objective To sum up diagnosis and treatment experiences of neonatal congenital gastrointestinal malformation,and to improve clinical level.Methods To review and analyze the clinical data of 24 neonatal congenital gastrointestinal malformations who were admitted to Kiang Wu Hospital from Jan 2009 to Dec 2021.Results Most cases of neonatal congenital gastrointestinal malformations in our hospital were male,full term babies with normal birth weight,mainly disease types were intestine malrotation,megacolon and anus atresia,less cases included two types of malformation.Clinical manifestations were vomit,abdominal distension,and abnormal bowel movement.Most cases were cured after surgery.Conclusion Early recognition of sign and specific check help to quick diagnosis and treatment,it was key for better prognosis,low mortality and less complication.Active coordination and complex treatment during perioperation raised total management level.