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目的 探讨先天性食道闭锁早期诊断、治疗与预后的关系。方法 回顾性分析近 8年 2 5例食道闭锁诊治经验和存活 9例随访资料。结果 生后 2天之后才确诊本病者肺炎并发症占 89.47% ,食道上下端距离1 .5～ 3.5cm者术后吻合口漏发生率 80 % (4/ 5 ) ;术后肺炎加重和吻合口漏等并发症是死亡的主要原因。结论 早期诊断 ,术后ICU细心监护 ,及时防治并发症是先天性食道闭锁手术成功的关键。
Objective To explore the relationship between early diagnosis, treatment and prognosis of congenital esophageal atresia. Methods A retrospective analysis of 25 cases of esophageal atlantica in recent 8 years experience in diagnosis and treatment and survival of 9 cases of follow-up data. Results The pneumonia complications diagnosed in this patient accounted for 89.47% 2 days after birth. The incidence of anastomotic leakage was 80% (4/5) after the upper and lower esophageal distance 1.5 ~ 3.5cm. The postoperative pneumonia was aggravated and anastomosed Complications such as leakage are the main causes of death. Conclusion Early diagnosis, intensive care after ICU, timely prevention and treatment of complications is the key to the success of congenital esophageal atresia.