新生児穿孔性腹膜炎の治療とその予後

概要

論文の詳細を見る
In reviewing 116 newborn infants with gastrointestinal perforation, clinical findings and modes of treatment for the last 32 infants were compared with those for the first 84 infants treated before 1978. It was concluded that early diagnosis of septicemia was decisive for successful treatment and the details of its treatment were as follows. 1. Whole blood exchange transfusion was performed promptly and repeatedly in neonatal septicemia. 2. Dopamine was administered preoperatively and it improved the renal and peripheral circulatory conditions. 3. Intravenous hyperalimentation performed without difficulty was useful for long term nutritional support. 4. Advance in postoperative artificial ventilation, especially CPAP, facilitated controls of acid-base balance. 5. Co-operation with neonatologists, especially in low birth weight infants, was essential for general life support. The unfavorable factors for this disease, such as low birth weight, oliguria, preoperative complications and so on, were proposed and the score based on them was helpful for the prediction of their prognosis.
日本小児外科学会の論文
1986-06-20