Objectve: To summarize the clinical effect of enterostomy in the treatment of acute abdomen in premature infants. Methods： The data of 22 premature infants who underwent enterostomy for acute abdomen from March 2021 to February 2022 in the Women's Hospital of Nanjing Medical University were retrospectively analyzed. The survival rate at 30 days after operation was counted, and the defecation time of stoma, postoperative intravenous nutrition time, postoperative weight gain and related complications were recorded. Results： 19 infants survived and 3 infants died after operation. The surviving children had gradual recovery of intestinal function and smooth defecation at the stoma after operation; postoperative abdominal infection was effectively controlled, white blood cells and C-reactive protein basically returned to normal one week after operation; relying on intravenous nutritional support, they gradually transitioned to enteral nutrition, and the weight gain was satisfactory; postoperative complications: 5 cases had peristomal dermatitis, 4 cases had stoma retraction, 2 cases had stoma lateral wall fistula, 1 case had stoma high-flow diarrhea, 1 case was complicated with intestinal necrosis and performed for unplanned second operation. Conclusion： Enterostomy, as a transitional treatment for premature acute abdomen, has a good short-term effect. However, we should pay attention to postoperative nutritional support and comprehensive management, postoperative complications need to be properly managed, so as to improve the survival and ultimately cure rates. |
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