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Clinical Study of Gastrointestinal perforation in the Newborn.

Journal of the Korean Pediatric Society 1980;23(3):220-227.
Published online March 15, 1980.
Clinical Study of Gastrointestinal perforation in the Newborn.
Ki Sub Chung, Jung Sik Park, Young Mo Son, Ki Young Lee, Duk Jin Yun
Department of pediatrics Yonsei university college of medicine, Korea.
신생아의 위장관 천공에 관한 임상적 관찰
정기섭, 박정식, 손영모, 이기영, 윤덕진
연세대학교 의과대학 소아과학교실
Abstract
A clinical study was made on 10 neonates with gastrointestinal perforation admitted to the department of pediatrics and surgery of Severance hospital from January, 1965, through Jane, 1978. The following results were obtained; 1) Males predominate (7M : 3F). 2) 7 cases of perforations occur in the first 2 days of life. 3) The most common site of perforations is stomach (3 cases) and terminal lieum (3 cases). The lesion showes inflammation, submucosal hemorrhage, atresia and muscular defect. 4) The clinical picture is abdominal distension developing repidly, cyanosis, vomiting, poor sucking, etc. 5) Abdominal X-rays are diagnostic, Massive pneumoperitoneum is visible in 5 cases. 6) Seven patients in 9 operated neonates died.


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