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作者回顾了波士顿儿童医院10年内对30名脐膨出患儿的治疗来确定出生时呼吸功能不全是否影响存活率。根据患儿出生时是否存在呼吸窘迫分为两组,每个患儿均记录下性别、胎龄、出生体重、缺损大小以及其他先天畸形。另外,外科治疗、应用呼吸支持的全部时间以及效果也进行记录。18名患儿在出生时未出现呼吸窘迫,在行脐膨出修复术前未行呼吸支持,其平均胎龄为3.82±2.60周,出生体重是3.4±0.6kg。6名患儿(33%)合并心血管或其他重要器官畸形。7名患儿(39%)为巨
The authors reviewed Boston Children’s Hospital’s treatment of 30 umbilical bulging children over a 10-year period to determine if respiratory insufficiency at birth affects survival. According to the existence of respiratory distress at birth, the children were divided into two groups. Each child recorded gender, gestational age, birth weight, defect size and other congenital malformations. In addition, surgical treatment, application of respiratory support all the time and the effect is also recorded. Eighteen infants had no respiratory distress at birth and did not have respiratory support before umbilical swelling repair. The average gestational age was 3.82 ± 2.60 weeks and the birth weight was 3.4 ± 0.6 kg. Six children (33%) had cardiovascular or other vital organ deformities. Seven children (39%) were giant