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PDF (Tiếng Việt)
Published: 2023-11-30
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DOI: https://doi.org/10.52724/tcnk.v16i3.206
Issue
Vol. 16 No. 3 (2023)
Section
Research

THE RESULTS OF TREATMENT OF INTESTINAL PERFORATION IN EXTREMELY LOW BIRTH WEIGHT NEONATES

Đặng Nguyễn Như Quỳnh, Huỳnh Kim Quỳnh, Huỳnh Thị Phương Anh, Đào Trung Hiếu

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Abstract

Objective: The author presents the results of treatment of intestinal perforation in
extremely low birth weight neonates and deals with factors to succeed.
Methods: Descriptive retrospective study. 15 extremely low birth weight neonates
diagnosed with intestinal perforation were operated in Children’s Hospital No. 1 from 08/2019 to 08/2021.
Results: From 08/2019 to 08/2021, there were 15 patients: 10 patients spontaneous intestinal perforation (SIP) and 5 patients intestinal perforation in NEC. There were 9 males and 6 females with mean age of 27,4 weeks, mean birth weight was 827,3 gram (lowest was 500 gram). 90% SIP patients had a single isolated ileal perforation. The mean duration of symptoms was 4,6 days of age in SIP và 10,2 days of age in NEC. Systemic disorders patients had preoperative abdominal drainage with drainage time of 80,8 hours. There were no intraoperative complications. Postoperative complications included 2 patients with wound infection and 1 patient in NEC died with progressive necrotizing enterocolitis. The mean time to intinal feeding was 6,8 days and time to full oral intake was 33,3 days. The
mean ventilator time was 19,4 days. The mean hospital stay was 90,1 hours.
Conclusions: Treatment of intestinal perforation in extremely low birth weight neonates with preoperative abdominal drainage and operation after adjustment disorders is safe and effective. SIP is most commonly found in ELBW preterm infants and have a good prognosis if diagnosed and treated promptly.

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Keywords

thủng ruột, sơ sinh cực nhẹ cân , thủng ruột tự phát, viêm ruột hoại tử.

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