肛门直肠畸形的延迟诊断很常见且明显增加了早期严重并发症的发生

• 作 者: Lindley R.M. Shawis R.N. Roberts J.P. 李开
• 机 构: Institute of Child Health Alder Hey Children's Hospital,Liverpool L12 2AP,United Kingdom,
• 出 处: 世界核心医学期刊文摘(儿科学分册)
• 发表日期: 2006年08期
• 关键词: 肛门直肠畸形 延迟诊断 小儿外科 并发症 新生儿病 体重 重症监护 见性 时间范围 新生儿

Aim:To clarify the extent of delayed diagnosis of anorectal malformations and the consequences of delaying this diagnosis.Methods:We performed a retrospective case review of all neonatal admissions with an anorectal malformation to a tertiary paediatric surgery unit.A delayed diagnosis was considered to be one made 24 h or more after birth.Results:75 patients were included in the study group:31(42%)had a delay in the diagnosis;44(58%)had no delay in the diagnosis.The time of diagnosis where a delay had occurred ranged from 2-16(median 2)d.A delay in diagnosis could not be accounted for by differences in age,sex,birthweight,gestational age,the severity or visibility of the lesion,the need for neonatal special or intensive care,or the presence of other anomalies.There were significantly more complications(including one death)amongst the group of children who had a delay in the diagnosis of an anorectal malformation.There was no significant difference in long-term functional outcome.Conclusion:Delays in the diagnosis of anorectal malformations are much more common than previously thought.A delay in diagnosis significantly increases the risk of serious early complications and death.

Aim: To clarify the extent of delayed diagnosis of anorectal malformations and the consequences of delaying this diagnosis. Methods: We performed a retrospective case review of all neonatal admissions with an anorectal malformation to a tertiary pediatric surgery unit. A delayed diagnosis was considered to be one made 24 h or more after birth. Results: 75 patients were included in the study group: 31 (42%) had a delay in the diagnosis; 44 delay had occurred ranged from 2-16 (median 2) dA delay in diagnosis could not be accounted for by differences in age, sex, birthweight, gestational age, the severity or visibility of the lesion, the need for neonatal special or intensive care, or the presence of other anomalies. Here are significantly more complications (including one death) amongst the group of children who had a delay in the diagnosis of an anorectal malformation. where was no significant difference in long-term functional outcome. Concl usion: Delays in the diagnosis of anorectal malformations are much more common than previously thought. A delay in diagnosis significantly increases the risk of serious early complications and death.