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KMID : 0361720130240020062
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Korean Journal of perinatology
2013 Volume.24 No. 2 p.62 ~ p.83
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Comparison of Clinical Findings of Gastric Perforation between Preterm and Term Neonates
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Kim Eun-Ha
Kang Kyung-Ji
Kim Chun-Soo
Lee Sang-Lak
Jung Eun-Young
Choi Soon-Ok
Park Woo-Hyun
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Abstract
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Purpose: The purpose of this study was to compare the clinical findings and mortality of neonatal gastric perforation between preterm and term infants. Methods: The medical records of neonates, admitted to the neonatal intensive care unit of Dongsan Medical Center for gastric perforation between July 1992 and June 2012, were reviewed retrospectively. The admission records of clinical findings and mortality were reviewed and statistically analyzed between preterm and term infants. Results: Nine infants were diagnosed with neonatal gastric perforation. Of the 9 infants, the number of term infants was 5 and the number of male was 8. Of the 4 infants diagnosed with spontaneous gastric perforation, the number of preterm and term infants was 3 and 1 respectively. The anatomical location of perforation was greater curvature in all 4 preterm infants. However, various sites such as greater curvature (3 infants) and antrum (2 infants) were observed in 5 term infants. Mortality rate was tended to be lower in preterm infants compared to term infants, without statistical significance (25.0% vs. 40.0%, P>0.1). There was no mortality in 4 infants diagnosed with spontaneous gastric perforation. However, 2 infants diagnosed with necrotizing enterocolitis (NEC) all died. Conclusion: There was no significant difference in clinical findings and mortality of neonatal gastric perforation between preterm and term infants. The prognosis of spontaneous gastric perforation was good, however, mortality rate was tended to be higher in NEC than other causes.
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KEYWORD
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Gastric Perforation, Neonate, Preterm infant, Term infant
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