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目的总结新生儿肠闭锁诊治的经验。方法分析30例新生儿肠闭锁诊治外科手术的过程。结果 90例患儿中,术后痊愈75例,死亡15例。其中1997~2002年为A组,共27例,死亡9例,治愈率66.6%;2003~2008年为B组,共63例,死亡6例,治愈率90.5%。结论手术是治疗新生儿先天性肠闭锁的主要方法,先天性肠闭锁与手术方法的选择、围手术期的管理及预后工作的完成情况密切相关。
Objective To summarize the experience of diagnosis and treatment of neonatal intestinal atresia. Methods 30 cases of neonatal intestinal atresia diagnosis and treatment of surgical procedures. Results 90 cases of children, 75 cases were cured, 15 died. Among them, group A consisted of 27 cases from 1997 to 2002, with 9 deaths, with a cure rate of 66.6%. From 2003 to 2008, group B comprised 63 cases with 6 deaths and the cure rate was 90.5%. Conclusions Surgery is the main method of treatment of congenital intestinal atresia. Congenital intestinal atresia is closely related to the selection of operative methods, management of perioperative period and the completion of prognosis.