GASTRIC PERFORATION IN THE NEONATE

被引:10
作者
BRUCE, J
BIANCHI, A
DOIG, CM
GOUGH, DCS
DICKSON, AP
机构
[1] Regional Neonatal Surgical Unit, St. Mary's Hospital, Hathersage Road
[2] Buffalo, New York, 14222
关键词
STOMACH; PERFORATION; RUPTURE; CARDIORESPIRATORY; RESUSCITATION;
D O I
10.1007/BF02352993
中图分类号
R72 [儿科学];
学科分类号
100202 ;
摘要
Ten neonates ranging in gestational age from 27 to 40 weeks and weighing 800 - 3,000 g presented, nine with peritonitis and pneumoperitoneum and one with gastroschisis. At surgery, perforation and rupture of the stomach was discovered. One had a tracheo-oesophageal fistula, one had gastroschisis, and in nine cases there had either been endotracheal intubation and mechanical ventilation or bag-and-mask ventilation and nasogastric intubation. Four patients died. While no cause for the perforation was identified, it is proposed that care in the respiratory resuscitation of neonates and premature infants is essential to prevent the problems of gastric perforation.
引用
收藏
页码:17 / 19
页数:3
相关论文
共 24 条
[1]  
Bayatpour M., Bernard L., McCune F., Bariel W.I., Spontaneous gastric rupture in the newborn, Am J Surg, 137, pp. 267-269, (1979)
[2]  
Bell M.J., Perforation of the gastrointestinal tract and peritonitis in the newborn, Surg Gynecol Obstet, 160, pp. 20-26, (1985)
[3]  
Field D., Milner A.D., Hopkin I.E., Efficiency of manual resuscitators at birth, Arch Dis Child, 61, pp. 300-302, (1986)
[4]  
Gullois B., Parent P., Gaudin J., Jehannin B., Alix D., Neonatal gastric perforation in twins, Pediatr Surg Int, 2, pp. 255-256, (1987)
[5]  
Gupta M., Brands Y.W., Gastric retention in neonates, Pediatrics, 62, pp. 26-29, (1978)
[6]  
Hoskyns E.W., Milner A.D., Hopkin I.E., A simple method of face mask resuscitation at birth, Arch Dis Child, 62, pp. 376-378, (1987)
[7]  
Hoskyns E.W., Milner A.D., Boon A.W., Vyas H., Hopkin I.E., Endotracheal resuscitation of preterm infants at birth, Arch Dis Child, 62, pp. 663-666, (1987)
[8]  
Houck W.S., Griffin J.A., Spontaneous linear tears of the stomach in the newborn infant, Ann. Surg., 193, pp. 763-768, (1981)
[9]  
Jones T.B., Kirchner S.G., Lee F.A., Heller R.M., Stomach rupture in association with esophageal atresia, tracheoesophageal fistula and ventilatory assistance, AJR Am J Roentgenol, 134, pp. 675-677, (1980)
[10]  
Krause S., Donen N., Gastric rupture during cardiopulmonary resuscitation, Can Anaesth Soc J, 31, pp. 319-322, (1984)