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目的 探讨先天性胃壁肌层缺损的病因、发痛机制、临床表现、治疗、预后。方法 总结分析我院 10年 17例本症患儿的临床资料及手术方式。结果 7例因就诊时间早 (<6h)、病变范围小而存活 ,治愈率为 41 1%。 10例因合并败血症、中毒性休克、DIC、多功能器官衰竭而死亡。结论 及早就诊、明确诊断、及时手术、抗感染、抗休克和支持治疗是提高治愈率的关键
Objective To investigate the etiology, pain mechanism, clinical manifestation, treatment and prognosis of congenital gastric muscular layer defect. Methods To summarize and analyze the clinical data and operation methods of 17 children with this disease in our hospital in 10 years. Results Of the 7 patients who had early treatment (<6h), the survival rate was 41.1% with a small range of disease. Ten patients died of combined sepsis, toxic shock, DIC, and multiple organ failure. Conclusion Early diagnosis, definite diagnosis, timely operation, anti-infection, anti-shock and supportive care are the keys to improve the cure rate