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首页> 外文期刊>ANZ journal of surgery >Paediatric surgery carried out by general surgeons: a rural New Zealand experience.
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Paediatric surgery carried out by general surgeons: a rural New Zealand experience.

机译：由普通外科医师进行的儿科手术：新西兰农村的经验。

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BACKGROUND: There are increasing moves towards centralization in paediatric surgery. With only four paediatric tertiary centres in New Zealand, many general surgeons still routinely carry out paediatric surgery. We present an audit of paediatric surgical patients admitted to our general surgical unit. METHODS: Data were prospectively recorded using a standardized pro forma on all children aged 15 years and below, who presented to general surgery between 11 December 2005 and 11 December 2006. RESULTS: There were 209 admissions (194 children); the median age was 8 years (range 6 weeks to 15 years) with 153 (73%) acutes. Male : female ratio was 3:2 and 37 children (18%) were less than 2 years of age. Procedures (n = 119) comprised appendicectomy (35), inguinal herniotomy (30), skin procedures (29), endoscopy (10), testicular (10) and others (5). The commonest acute and elective operations were appendicectomy and inguinal herniotomy, respectively, with 51% of all operations carried out acutely. There were 10 tertiary hospital transfers (5%) for burns (4), pyloric stenosis (3), intussusception (1), neonatal inguinal hernia (1) and pyoderma gangrenosum (1). Median age of transfers was 11 months (range 6 weeks to 14 years). Complications were wound infection (1), postoperative ileus (2) and infarcted ovary (1). CONCLUSION: A large number of children presented to our surgical department. Approximately half required surgery and half of the operations were acute. There is still a significant need for general paediatric surgery in the provinces and hence close collaboration with specialist paediatric surgeons.
机译：背景：儿科手术越来越趋向集中化。在新西兰只有四个儿科三级中心，许多普通外科医师仍在常规地进行儿科手术。我们将对普外科的小儿外科手术患者进行审核。方法：采用标准化形式对2005年12月11日至2006年12月11日期间接受普外科手术的所有15岁及以下儿童进行前瞻性记录。结果：入院209例（194例儿童）。中位年龄为8岁（6周至15岁），有153名（73％）急性患者。男女之比为3：2，有37名儿童（18％）小于2岁。程序（n = 119）包括阑尾切除术（35），腹股沟疝切开术（30），皮肤程序（29），内窥镜检查（10），睾丸（10）和其他（5）。最常见的急性和选择性手术分别是阑尾切除术和腹股沟疝气切开术，其中所有手术中有51％进行了急性手术。三级医院有10次烧伤（4），幽门狭窄（3），肠套叠（1），新生儿腹股沟疝（1）和坏疽性脓皮病（5％）（5％）。转移的中位数年龄为11个月（范围从6周到14岁）。并发症有伤口感染（1），术后肠梗阻（2）和卵巢梗塞（1）。结论：大量儿童来到我们的外科。大约一半需要手术，一半手术是急性的。各省仍然非常需要普通儿科手术，因此需要与专科儿科医生进行密切合作。

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