新生儿脐膨出的临床治疗分析

目的：探讨新生儿脐膨出的治疗方法,帮助提高该病的治愈率和生存质量。方法：总结2004年6月至2008年3月我院小儿外科收治的36例新生儿脐膨出的病例,进行回顾性分析。结果：36例新生儿脐膨出患儿,其中男26例,女10例,治愈31例,死亡3例,放弃2例,生存率86.1%,术后无切口裂开。死亡原因：合并先天性心脏病并发心肺功能衰竭死亡1例;感染性休克死亡1例;出院后突然囊膜破裂严重感染死亡1例。术后获得随访21例。随访10个月至2年,生长发育正常,营养良好。结论：不要简单地把囊膜情况及缺损大小作为是否手术的标准,积极有效的手术治疗是提高治愈率的最好方法。

Analysis on the Treatment of Exomphalos in Newborn

Objective： To explore the therapeutic methods of exomphalos in newborn, so as to improve the cure rate and living quality of the newborns. Method： 36 cases with exomphalos admitted to pediatric surgery department of our hospital from Jun. 2004 to Mar. 2008 were retrospectively analyzed. Result： Of 36 cases with exomphalos, 31 cases were cured, three were dead, and 2 cases were given up. The survival rate was 86.1%. The reasons for death were as follows： there was 1 case combined with congenital heart disease complicated with heart and lung failure, 1 case died of septic shock, and 1 case died of severe infection after membrane rupture without postoperative wound dehiscence. 21 cases were followed up for 10 months to 2 years with good development. Conclusion： Situation of capsules and defect size can＇ t act as the rules for deciding whether to perform a surgery. Positive and effective surgical treatment is the best way to improve cure rate.