临床小儿外科杂志2018，Vol.17Issue(2)：122-125,4.DOI:10.3969/j.issn.1671-6353.2018.02.009
一期手术治疗严重腹壁缺损及手术后腹腔压力变化探讨
The application of One-stage operation in treating severe abdominal wall defect and postoperative ab-dominal pressure variation features
摘要
Abstract
Objective To investigate the changes of intra-abdominal pressure of children with severe congenital abdominal wall deficits after one-stage operation.Methods Retrospectively analyze clinical data of 15 cases of children with severe congenital abdominal wall deficit who underwent one -stage operation between January 2015 and December 2016.Results The intra-abdominal pressure of all patients decreased significant-ly after 24 hours post-operation.The total respiratory support time differed from 22 hours to 364 hours and the total recovery time of intestinal function differed from 67 hours to 168 hours.All patients discharged after recov-ering total enteral nutrition,and then be followed up by 11 to 34 months.All patients recovered well with excep-tion of 3 cases:one children died from vomiting and suffocation due to pneumonia after 2 months of post-opera-tion;one premature infant who suffered from long-term feeding intolerance finally recovered after repeated en-teral and external nutrition support;one children had incisional hernia after 3 months of post-operation.Con-clusion Although there is a considerable risk of high intra-abdominal pressure after one-stage operation,chil-dren with severe congenital abdominal-wall deficit can quickly survive this period,and achieve phase I repair-men through comprehensive perioperative care,together with long-time application of muscle relaxant and venti-lator support.关键词
腹裂/疝,脐/腹壁/再手术/腹腔/压力Key words
Gastroschisis/Hernia/Umbilical/Abdominal Wall/Reoperation/Abdominal Cavity/Pre-ssure引用本文复制引用
王鹏,黄寿奖,秦琪,吕成杰,赵晓霞,陈锐,钭金法..一期手术治疗严重腹壁缺损及手术后腹腔压力变化探讨[J].临床小儿外科杂志,2018,17(2):122-125,4.基金项目
浙江省教育厅课题(Y201225739) （Y201225739）
