Analysis of etiology and prognosis of neonatal gastric perforation

VernacularTitle:新生儿胃穿孔病因及预后分析
Author: Pengju ZHANG ; Liya WANG ; Zhe ZHANG
Publication Type:Journal Article
Keywords: Infant,newborn; Prognosis; Gastric perforation; Surgery
From: Chinese Journal of Postgraduates of Medicine 2014;37(24):10-12
CountryChina
Language:Chinese
Abstract: Objective To investigate the etiology,clinical features and prognosis of neonatal gastric perforation.Methods The medical records of 18 patients with neonatal gastric perforation with respect to sex,age,birth-weight,course of disease,clinical presentations,and prognosis were retrospectively analyzed.Results There were 13 boys and 5 girls,8 of whom were full term infants and 10 preterm infants.The most common initial manifestations were poor activity,abdominal distension,and respiratory distress.All neonates were treated by surgical operation,the overall survival rate was 11/18.Prematurity,birth-weight,course of disease,were the statistically significant risk factors (P ＜ 0.05).Conclusions Neonatal gastric perfora tion is mainly caused by congenital gastric wall defect,and associated with high mortality,particularly in premature infants.It is necessary to early diagnosis,surgical operation in time,nurse intensively,and observe the condition closely.