摘要
目的探讨先天性食道闭锁早期诊断、治疗与预后的关系。方法回顾性分析近6年8例食道闭锁诊治经验和存活5例随访资料。结果出生2d之后才确诊本病者肺炎并发症占92%,食道上下端距离超过2cm者术后吻合口瘘发生率80%;术后肺炎加重和吻合口瘘等并发症是死亡的主要原因。结论早期诊断、术后ICU细心监护、及时防治并发症是先天性食道闭锁手术成功的关键。
Objective To discuss relationship between early stage diagnose, treatment and prognosis of congenital esophageal atresia. Methods We retrospectively analyzed treatment experience of 8 cases we treated in recent 6 years and follow-up data of 5 survived cases. Results We found that postoperative severe pneumonia and anastomotic leakage are two major mortal complication of the disease. Morbidity of pneumonia in the cases that had been diagnosed at least 2 days after birth reached 92%, and that of anstomotic leakage in the long gap cases reached 80%. Conclusion The key factors of operation success are early stage diagnosis, intensive care after operation, prevention and care of complication promptly according to our consideration.
出处
《深圳中西医结合杂志》
2006年第2期98-99,102,共3页
Shenzhen Journal of Integrated Traditional Chinese and Western Medicine
基金
深圳市科技局立项课题(200405174)
关键词
食道闲锁
诊断
并发症
预后
Esophageal atresia
Diagnosis
Complication
Prognosis
