The Surgery of Infancy and Childhood Its Principles and Techniques【2025|PDF|Epub|mobi|kindle电子书版本百度云盘下载】

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CHAPTER 1 The Field of Children＇s Surgery1

CHAPTER 2 Preoperative and Postoperative Care6

RESPONSIBILITY FOR THE SURGICAL CASE7

PREOPERATIVE CARE8

OPERATIVE CARE11

GENERAL POSTOPERATIVE CARE13

FLUID THERAPY19

PROVISION FOR CALORIC NEEDS30

ELECTROLYTE THERAPY31

CHAPTER 3 Anesthesia for Pediatric Surgery38

ANESTHETIC EQUIPMENT39

PREOPERATIVE PREPARATION40

CHOICE OF ANESTHETIC AGENTS AND TECHNIQUES43

INDUCTION46

MAINTENANCE48

CHAPTER 4 Disruption of Abdominal Wounds50

FACTORS CONTRIBUTING TO GOOD WOUND HEALING50

TREATMENT OF DEHISCENCE OR EVISCERATION53

STATISTICS53

REFERENCES55

CHAPTER 5 Surgery in Premature Infants56

ALTERED PHYSIOLOGY OF THE PREMATURE BABY56

PRINCIPLES OF SURGICAL CARE FOR PREMATURE BABIES58

MATERIAL AND RESULTS OF SURGERY IN PREMATURE BABIES68

REFERENCES74

CHAPTER 6 Atresia of the Esophagus75

TYPES OF ESOPHAGEAL MALFORMATION75

CLINICAL PICTURE AND ROENTGENOLOGIC FINDINGS77

PREOPERATIVE CARE80

SURGICAL PROCEDURES81

POSTOPERATIVE CARE93

RESULTS OF THERAPY95

REFERENCES101

CHAPTER 7 Esophageal Stenosis or Stricture103

CONGENITAL ESOPHAGEAL STENOSIS103

POSTOPERATIVE ESOPHAGEAL STRICTURE113

ESOPHAGEAL STRICTURE FOLLOWING PEPTIC ESOPHAGITIS118

ESOPHAGEAL STRICTURE FROM LYE BURNS119

REFERENCES124

CHAPTER 8 Cardio-Esophageal Chalasia126

ETIOLOGY126

CLINICAL PICTURE126

DIAGNOSIS127

TREATMENT127

RESULTS OF TREATMENT128

REFERENCES129

CHAPTER 9 Congenital Hypertrophic Pyloric Stenosis130

PATHOLOGY130

ETIOLOGY131

SYMPTOMS132

PHYSICAL EXAMINATION132

DIFFERENTIAL DIAGNOSIS133

ROENTGENOLOGIC EXAMINATION135

PREOPERATIVE CARE135

OPERATIVE PROCEDURES137

POSTOPERATIVE CARE139

RESULTS OF THERAPY142

REFERENCES143

CHAPTER 10 Peptic Ulcer．Gastrostomy144

PEPTIC ULCER144

GASTROSTOMY146

REFERENCES149

CHAPTER 11 Congenital Atresia of the Intestine and Colon150

EMBRYOLOGY151

PATHOLOGY151

CLINICAL FINDINGS153

ROENTGENOLOGIC EXAMINATION153

TREATMENT156

RESULTS OF THERAPY162

END RESULTS IN INTRINSIC CONGENITAL INTESTINAL OBSTRUCTION(ATRESIA AND STENOSIS)165

REFERENCES166

CHAPTER 12 Congenital Stenosis of the Intestine and Colon167

EMBRYOLOGY167

PATHOLOGY167

SYMPTOMS AND SIGNS168

ROENTGENOLOGIC EXAMINATION170

TREATMENT170

RESULTS OF TREATMENT172

REFERENCES174

CHAPTER 13 Intestinal Obstruction in the Newborn Resulting from Meconium Ileus175

PATHOLOGIC DATA175

CLINICAL PICTURE177

ROENTGENOLOGIC EXAMINATION178

TREATMENT178

RESULTS OF THERAPY187

REFERENCES191

CHAPTER 14 Malrotation of the Intestines and Colon192

EMBRYOLOGY192

PATHOLOGY193

SYMPTOMS AND SIGNS195

ROENTGENOLOGIC EXAMINATION197

TREATMENT197

RESULTS OF TREATMENT201

REFERENCES203

CHAPTER 15 Annular Pancreas Producing Duodenal Obstruction204

PATHOLOGY204

EMBRYOLOGY206

CLINICAL DATA206

TREATMENT207

RESULTS OF TREATMENT210

REFERENCES210

CHAPTER 16 Meckel＇s Diverticulum211

EMBRYOLOGY211

PATHOLOGY212

CLINICAL FINDINGS213

ROENTGENOLOGIC EXAMINATION217

TREATMENT217

RESULTS OF THERAPY219

REFERENCES219

CHAPTER 17 Duplications of the Alimentary Tract221

PATHOLOGY221

EMBRYOLOGY225

CLINICAL SYMPTOMS AND SIGNS226

ROENTGENOLOGIC DATA228

TREATMENT237

RESULTS OF TREATMENT244

REFERENCES245

CHAPTER 18 Foreign Bodies in the Alimentary Tract246

SYMPTOMS247

ROENTGENOLOGIC STUDY248

TREATMENT248

SUMMARY AND CONCLUSIONS252

REFERENCES252

CHAPTER 19 Appendicitis253

PATHOLOGY253

ETIOLOGY254

SYMPTOMS AND SIGNS255

LABORATORY DATA260

DIFFERENTIAL DIAGNOSIS260

TREATMENT262

POSTOPERATIVE CARE FOLLOWING SIMPLE APPENDICITIS268

POSTOPERATIVE CARE FOLLOWING APPENDICITIS WITH RUPTURE268

COMPLICATIONS272

MORTALITY FACTORS275

PINWORMS AND APPENDICITIS277

APPENDECTOMY FOR RECURRENT ABDOMINAL PAIN278

REFERENCES279

CHAPTER 20 Intussusception281

ETIOLOGY281

TYPES OF INTUSSUSCEPTION282

SYMPTOMS AND SIGNS282

ROENTGENOLOGIC EXAMINATION287

TREATMENT288

FACTORS IN PROGNOSIS294

CHRONIC INTUSSUSCEPTION297

RECURRENT INTUSSUSCEPTION298

REFERENCES300

CHAPTER 21 Polyps of Intestine and Colon301

PATHOLOGY301

CLINICAL FINDINGS302

ROENTGENOLOGIC EXAMINATION305

DIFFERENTIAL DIAGNOSIS306

TREATMENT308

RESULTS OF THERAPY313

REFERENCES314

CHAPTER 22 Chronic Ulcerative Colitis316

ETIOLOGY316

PATHOLOGY317

CLINICAL FINDINGS318

ROENTGENOLOGIC EXAMINATION318

DIFFERENTIAL DIAGNOSIS319

TREATMENT321

RESULTS OF TREATMENT326

REFERENCES329

CHAPTER 23 Congenital Megacolon(Hirschsprung＇s Disease)330

PATHOLOGY AND ETIOLOGY330

CLINICAL FINDINGS333

ROENTGENOLOGIC FINDINGS335

TREATMENT336

RESULTS OF TREATMENT345

REFERENCES346

CHAPTER 24 Malformations of the Anus and Rectum348

EMBRYOLOGY AND PATHOGENESIS348

TYPES OF ANAL AND RECTAL ABNORMALITIES350

SYMPTOMS352

PHYSICAL FINDINGS353

ROENTGENOLOGIC EXAMINATION354

ASSOCIATED CONGENITAL ANOMALIES355

TREATMENT OF STENOSIS OR ATRESIA OF ANUS AND RECTUM355

TREATMENT OF RECTAL FISTULAS364

RESULTS OF TREATMENT365

REFERENCES367

CHAPTER 25 Rectal Bleeding in Infants and Children369

CLINICAL MATERIAL370

EVALUATION AND MANAGEMENT OF RECTAL BLEEDING375

REFERENCES376

CHAPTER 26 Omental Cysts and Mesenteric Cysts377

OMENTAL CYSTS377

ISOLATED MESENTERIC CYSTS377

REFERENCES383

CHAPTER 27 Primary Peritonitis384

PATHOLOGY AND ETIOLOGY384

SYMPTOMS AND SIGNS385

DIFFERENTIAL DIAGNOSIS387

TREATMENT387

RESULTS OF TREATMENT390

REFERENCES391

CHAPTER 28 Iliac Adenitis392

CLINICAL FINDINGS392

TREATMENT393

REFERENCES394

CHAPTER 29 Omphalitis395

ANATOMIC CONSIDERATIONS395

PATHOLOGY396

CLINICAL FINDINGS396

TREATMENT397

RESULTS OF THERAPY397

REFERENCES398

CHAPTER 30 Rare Conditions of the Umbilicus and Abdominal Wall399

CYST OF THE UMBILICAL CORD399

CYST OF THE NAVEL399

WEEPING UMBILICUS399

PATENT URACHUS AND URACHAL CYST400

PERSISTENT VITELLINE DUCT402

NEOPLASMS OF THE ABDOMINAL WALL402

REFERENCES405

CHAPTER 31 Omphalocele(Umbilical Eventration)406

EMBRYOLOGY406

CLINICAL FINDINGS406

TREATMENT410

RESULTS OF TREATMENT417

REFERENCES422

CHAPTER 32 Umbilical Hernia423

PATHOLOGY423

PHYSICAL FINDINGS423

SYMPTOMS423

TREATMENT423

RESULTS OF TREATMENT426

REFERENCES427

CHAPTER 33 Congenital Hernia of the Diaphragm428

EMBRYOLOGY428

PATHOLOGIC ANATOMY429

CLINICAL FINDINGS430

ROENTGENOLOGIC EXAMINATION431

TREATMENT432

RESULTS OF TREATMENT441

REFERENCES444

CHAPTER 34 Intra-abdominal Hernia445

REFERENCES447

CHAPTER 35 Inguinal Hernia449

CLINICAL FINDINGS449

TREATMENT452

POSTOPERATIVE CARE460

RESULTS OF TREATMENT461

REFERENCES462

CHAPTER 36 Hydrocele463

SYMPTOMS AND DIAGNOSIS463

TREATMENT463

REFERENCES466

CHAPTER 37 Undescended Testicle(Cryptorchidism)467

DIFFERENTIAL DIAGNOSIS467

CLINICAL FINDINGS468

TREATMENT469

RESULTS OF TREATMENT478

REFERENCES481

CHAPTER 38 Torsion of the Testis and the Appendix Testis482

TORSION OF THE TESTIS482

TORSION OF THE APPENDIX TESTIS483

REFERENCES484

CHAPTER 39 Tumors of the Testicle486

PATHOLOGIC TYPES486

CLINICAL PICTURE486

TREATMENT489

RESULTS OF THERAPY491

REFERENCES493

CHAPTER 40 Diseases of the Female Genital Tract494

HYDROMETROCOLPOS494

HEMATOCOLPOS495

OVARIAN CYSTS497

NEOPLASMS OF THE OVARY499

NEOPLASMS OF THE UTERUS OR VAGINA503

VAGINITIS506

REFERENCES507

CHAPTER 41 Obstructive Jaundice in Infancy508

DIFFERENTIAL DIAGNOSIS509

BILIARY OBSTRUCTION FROM ERYTHROBLASTOSIS510

OBSTRUCTIVE JAUNDICE FROM INSPISSATED BILE OR MUCUS IN THE BILIARY PASSAGES510

CONGENITAL ATRESIA OF THE BILE DUCTS511

MEDICAL TREATMENT FOR BILIARY OBSTRUCTION515

SURGICAL TREATMENT FOR BILIARY OBSTRUCTION516

RESULTS OF THERAPY520

REFERENCES522

CHAPTER 42 Miscellaneous Conditions of the Liver and Biliary Passages524

IDIOPATHIC DILATATION OF THE COMMON BILE DUCT524

CHOLECYSTITIS530

CHOLELITHIASIS531

HEPATIC TUMORS532

CONGENITAL ANOMALIES OF THE GALLBLADDER535

TRAUMA TO THE GALLBLADDER AND BILE DUCTS538

REFERENCES540

CHAPTER 43 Diseases of the Spleen542

CONGENITAL HEMOLYTIC ANEMIA542

ACQUIRED HEMOLYTIC ANEMIA547

IDIOPATHIC THROMBOCYTOPENIC PURPURA548

SECONDARY THROMBOCYTOPENIC PURPURA551

PORTAL HYPERTENSION551

HYPERSPLENISM559

TRAUMATIC RUPTURE OF THE SPLEEN562

LIPID STORAGE DISEASE564

CYSTS AND TUMORS OF THE SPLEEN565

MISCELLANEOUS CONDITIONS566

TECHNIQUE OF SPLENECTOMY566

POST-SPLENECTOMY THROMBOSIS568

REFERENCES571

CHAPTER 44 Hypoglycemia574

PATHOLOGY．ETIOLOGIC FACTORS574

CLINICAL FINDINGS575

DIFFERENTIAL DIAGNOSIS．ESTABLISHMENT OF THE DIAGNOSIS576

TREATMENT580

RESULTS OF THERAPY584

REFERENCES586

CHAPTER 45 Embryoma of the Kidney(Wilms＇ Tumor)588

PATHOLOGY588

CLINICAL DATA589

ROENTGENOLOGIC EXAMINATION591

DIFFERENTIAL DIAGNOSIS591

TREATMENT594

REFERENCES604

CHAPTER 46 Neuroblastoma Sympatheticum606

PATHOLOGY607

CLINICAL FINDINGS611

DIFFERENTIAL DIAGNOSIS614

TREATMENT615

RESULTS OF TREATMENT621

REFERENCES625

CHAPTER 47 Retroperitoneal Teratoma626

PATHOLOGIC FEATURES626

CLINICAL FINDINGS627

DIFFERENTIAL DIAGNOSIS628

TREATMENT629

RESULTS OF THERAPY632

REFERENCES634

CHAPTER 48 Uretero-Pelvic Obstruction635

PATHOLOGY635

CLINICAL FINDINGS637

ROENTGENOGRAPHIC FEATURES638

LABORATORY DATA642

TREATMENT642

RESULTS OF THERAPY656

REFERENCES657

CHAPTER 49 Double Ureters659

PATHOLOGIC OBSERVATIONS659

CLINICAL FINDINGS661

TREATMENT664

RESULTS OF THERAPY669

REFERENCES670

CHAPTER 50 Ectopic Ureter672

PATHOLOGIC CONSIDERATIONS672

CLINICAL FINDINGS674

TREATMENT676

RESULTS OF THERAPY677

REFERENCES678

CHAPTER 51 Ureterocele679

PATHOLOGIC FINDINGS679

CLINICAL PICTURE680

TREATMENT683

RESULTS OF TREATMENT686

REFERENCES687

CHAPTER 52 Exstrophy of the Bladder688

CLINICAL FINDINGS688

TREATMENT689

RESULTS OF OPERATION700

REFERENCES703

CHAPTER 53 Epispadias705

CLINICAL PICTURE705

TREATMENT707

RESULTS OF THERAPY710

REFERENCES713

CHAPTER 54 Hypospadias714

CLINICAL FEATURES714

TREATMENT716

RESULTS OF THERAPY728

REFERENCES728

CHAPTER 55 Urinary Obstruction from Posterior Urethral Valves730

PATHOLOGY AND CLINICAL PICTURE730

ROENTGENOGRAPHIC FINDINGS731

TREATMENT733

RESULTS OF THERAPY738

REFERENCES739

CHAPTER 56 Urinary and Fecal Incontinence of Neurogenic Origin740

CLINICAL DATA740

TREATMENT741

RECOMMENDATIONS749

REFERENCES752

CHAPTER 57 Pectus Excavatum(Funnel Chest)753

ETIOLOGY753

CLINICAL FINDINGS753

INDICATIONS FOR SURGERY755

SURGICAL TREATMENT755

RESULTS OF OPERATION760

REFERENCES761

CHAPTER 58 Cysts and Primary Tumors of the Thorax762

GENERAL FINDINGS762

NEUROGENIC TUMORS763

NEUROBLASTOMA763

CYSTIC HYGROMA770

THYMOMAS773

TERATOMA775

OSTEOCHONDROMA779

HEMANGIOMA779

BRONCHOGENIC CYST780

NEURENTERIC CYST780

DUPLICATIONS OF THE ALIMENTARY TRACT781

REFERENCES784

CHAPTER 59 Bronchiectasis785

PATHOLOGIC AND ETIOLOGIC CONSIDERATIONS785

CLINICAL PICTURE789

DIAGNOSTIC STUDIES792

TREATMENT792

RESULTS OF THERAPY801

REFERENCES804

CHAPTER 60 The Patent Ductus Arteriosus806

CLINICAL FINDINGS806

DIAGNOSIS809

PROGNOSIS IN UNTREATED CASES813

SELECTION OF PATIENTS FOR OPERATION814

TREATMENT817

RESULTS OF SURGICAL TREATMENT822

REFERENCES827

CHAPTER 61 Coarctation of the Aorta828

PROGNOSIS828

CLINICAL PICTURE831

DIAGNOSTIC AIDS833

SELECTION OF CASES FOR SURGERY837

SURGICAL TREATMENT838

RESULTS OF THERAPY854

REFERENCES862

CHAPTER 62 Interauricular Septal Defect864

ANATOMIC AND PHYSIOLOGIC DATA864

CLINICAL FINDINGS866

SELECTION OF PATIENTS FOR OPERATION869

METHODS FOR CLOSURE OF INTERAURICULAR SEPTAL DEFECTS870

RECOMMENDED SURGICAL TREATMENT872

RESULTS OF OPERATION882

REFERENCES884

CHAPTER 63 Tetralogy of Fallot886

PATHOLOGIC ANATOMY886

CLINICAL PICTURF887

ROENTGENOGRAPHIC AND CATHETERIZATION DATA889

SELECTION OF CASES FOR OPERATION890

SURGICAL TREATMENT891

RESULTS OF THERAPY897

REFERENCES899

CHAPTER 64 Congenital Pulmonary Stenosis900

PATHOLOGIC CONSIDERATIONS900

CLINICAL FINDINGS902

ROENTGENOGRAPHIC DATA903

CATHETERIZATION STUDIES904

INDICATIONS FOR OPERATION905

SURGICAL TREATMENT906

RESULTS OF OPERATION910

REFERENCES911

CHAPTER 65 Vascular Anomalies in the Thorax Producing Compression of the Trachea or Esophagus913

DOUBLE AORTIC ARCH913

RIGHT AORTIC ARCH WITH LEFT LIGAMENTUM ARTERIOSUM921

ANOMALOUS INNOMINATE ARTERY926

ANOMALOUS LEFT COMMON CAROTID ARTERY929

ABERRANT SUBCLAVIAN ARTERY930

TECHNICAL CONSIDERATIONS OF OPERATION933

REFERENCES934

CHAPTER 66 Thyroglossal Cysts and Sinuses936

EMBRYOLOGY936

PATHOLOGY936

CLINICAL FINDINGS936

DIFFERENTIAL DIAGNOSIS939

TREATMENT941

RESULTS OF TREATMENT945

REFERENCES946

CHAPTER 67 Cysts，Sinuses，and Other Anomalies of the Branchial Apparatus947

EMBRYOLOGY947

CLINICAL DATA949

TREATMENT956

REFERENCES959

CHAPTER 68 Cystic Hygroma960

PATHOLOGY960

ETIOLOGY961

CLINICAL DATA962

SYMPTOMS AND SIGNS964

TREATMENT965

RESULTS OF THERAPY969

REFERENCES970

CHAPTER 69 Wringer Injuries of the Arm971

THE INJURY971

TREATMENT973

Index977