【摘要】 目的探讨新生儿肠旋转不良的临床特点。方法回顾性分析1962～2002年我院收治的经手术治疗的新生儿肠旋转不良75例病例资料。结果生后1周内发病就诊者35例(46.7%),第2周内20例(26.7%),第3、4周内分别为13例及7例。伴发消化道其他畸形17例,占22.7%。其中1周内治愈25例(71.4%),死亡7例,退院3例;2～4周组治愈34例(85.0%),死亡5例,退院1例。14例获2.5～23年随访,平均8.3年,除1例生长发育一般外,均良好。结论肠旋转不良伴发消化道其他畸形较多,以1周内发病者伴发畸形最高,本组有12例,其中以十二指肠及空肠闭锁或狭窄最多。术中应仔细检查,防止遗漏。更多还原

【Abstract】 Objective To explore the clinical characteristics of malrotation of intestine in newborns. Methods 109 patients with malrotation of intestine accepted operation in our hospital from 1962～2002. Among them 75 were newborns (0～4 weeks old). Results Among the 75 newborns with malrotation of intestine (male 59, female 16), 35 cases occurred within 1week after birth, 20 within 2 weeks ,13 within 3 weeks and 7 within 4weeks.17 cases(22.7%)were accompanied with other malformations of alimentary tract simultaneously.25cases (71.4%) of 35 newborns within 1 week were cured , 7 cases died and 1 case rejected treatment. 34 cases (85%) of the newborns within 2 to 4 weeks were cured. 14 cases were followed up for 2.5 years to 23 years ( averaged 8.3 years), with 13 cases good and 1 case fair . Conclusions Malrotation of intestine is often accompanied with other intestinal malformations which is found in 17 cases(22.7%) in the group. Duodenal and jejunal atresia or stenosis are the most malformation with 12 cases (70.6%) in this group. The accidence of accompanied malformations in 1 week group was more than other groups, in the group 8 children had intestinal atresia or stenosis . Careful examination is obligatory in operations,in order to prevent missed diagnosis.更多还原