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安干燮,朴永寬 계명대학교 醫科大學 外科學敎室同門會 1990 남경 박영관 교수 정년퇴임기념 논문집 Vol.S No.-
Intestinal obstruction are the most common surgical emergencies encountered in newborn infants. These defects of gastrointestinal tract result from a variety of embryonic anomalies, intrauterine accidents and functional abnormalities. Vomiting, abdominal distension and the failure to pass a normal meconium stool are symptoms which the various forms of gastrointestinal tract obstructions have in common. Vomiting results in rapid dehydration and loss of electrolytes. In addition, aspiration, of the vomitus threatens these weakened infants with chemical and bacterial pneumonitis. Abdominal distension may be severe enough to elevate the diaphragm and further emb-arrass the child’ s respiration. The combination of distension with vascular insufficiency is often,a factor in either prenatal or postnatal intestinal perforation with peritonitis. These chains of events are reversible with early diagnosis, effective preparation management, skillful surgery and meticular postoperative care.