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정성은; 양석진; 전용순; 이성철; 박귀원; 김우기

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자료유형: 학술저널

저자정보: 정성은 (서울대학교병원 소아외과) 양석진 (서울대학교병원 소아외과) 전용순 (서울대학교병원 소아외과) 이성철 (서울대학교병원 소아외과) 박귀원 (서울대학교병원 소아외과) 김우기 (서울대학교병원 소아외과)

저널정보: 대한소아외과학회 Journal of the Korean Association of Pediatric Surgeons : JKAPS Journal of the Korean Association of Pediatric Surgeons : JKAPS 제2권 제2호

발행연도: 1996.1

수록면: 110 - 114 (5page)

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연구주제

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연구배경

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연구방법

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Spontaneous gastric perforation is an important but rare cause of gastrointestinal perforation in neonates. Just over 200 cases have been reported in the literatures. In spite of recent surgical advances in its managements, mortality rate has been reported as high as 25-50%. Because of physiologic differences, immature immune mechanisms, variations in gastrointestinal flora and poor localization of perforation, a neonate with gastric perforation is at high risk. The pathogenesis is greatly debated. Five patients with spontaneous neonatal gastric perforation who were operated upon at the Department of Pediatric Surgery, Seoul National University Hospital from 1980 to 1993 were reviewed. Four patients were male and one female. The first indication of perforation was 1 day to 6 days of life. All of 5 perforations were located along the greater curvature of the stomach. The size of perforation ranged from 2 cm to 10 cm. Debridement and primary closure were performed in all patients. The operative mortality was 40%(2 of 5). The cause of perforation was not identified in all cases. Prematurity and necrotizing enterocolitis, synchronous or metachronous, were thought to he crucial prognostic factors. Earlier recognition and surgical intervention are necessary to reduce morbidity and mortality.

#Gastric perforation #Neonate

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정성은

소속기관 서울대학교 어린이병원 소아외과

주요연구분야 의약학 > 임상의학 > 소아과학 의약학 > 임상의학 > 일반 외과학

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양석진

소속기관 서울대학교 어린이병원 소아외과