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Abstract]
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Full Text PDF] （in Japanese / 2192KB）
[Members Only And Two Factor Auth.] J.Jpn. Surg. Soc.. 91(9): 1298-1301, 1990
Report on the annual meeting
SURGERY OF PREMATURE BABIES－THE PRESENT AND THE FUTURE
In National Children's Hospital 68 neontal surgical cases weighing less than 2000g at birth were treated from 1978 to 1989. These included 40 low birth-weight (LBW) patients, 20 very low birthweight (VLBW) patients and 8 extremely low birthweight (ELBW) patients. Among them esophageal atresia and necrotizing enterocolitis were frquent. Mortality rate of surgical treatment was 75%, 35% and 25% in LBW, VLBW and ELBW patients, respectively. Sepsis and chromosomal abnormality were the most frequent causes of death. HFO, ECMO and surgery in NICU were introduced to treat the repiratory failure and exchange transfusion (ET) and/or granulocyte transfusion (GT) was for sepsis and DIC. HFO and ECMO were proved to be effective in the treatment of PFC due to pulmonary hypoplasia. ET and/or GT were partly effective in increasing platelet or granulocyte count. But sepsis and DIC were not controlled by ET and/or GT. Early diagnosis and treatment is considered to be essential in the treatment of sepsis due to peritonitis in the premature neonate. Moreover, neonates should be monitored without stress to prevent NEC developing.
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