新生儿坏死性小肠结肠炎附四例报告

• 作 者: 陈浅平 周彦芳 李安民 徐静鸿
• 机 构: 鹤壁市第一人民医院儿科,鹤壁市第一人民医院儿科,鹤壁市第一人民医院儿科,鹤壁市第一人民医院儿科,
• 出 处: 实用儿科临床杂志
• 发表日期: 1986年03期
• 关键词: 脐部感染 肠功能障碍 重症患儿 综合观察 大便潜血 尸检 足月顺产 平片 肠间隙增宽 觅食反射

结合文献报告四例新生儿坏死性小肠结肠炎,其中1例有典型的临床和X线表现,3例经尸检证实。本文4例情况颇殊,均系足月顺产,无窒息、腹泻及高渗乳方摄入史,却均有脐部感染。对便血问题,提出肠功能障碍可使部分重症患儿无便血表现,诊断本症应对腹胀、便血、呕吐、大便潜血及腹部平片作综合观察分析,并浅析了发病机理和误诊的原因。

Four cases of neonatal necrotizing enterocolitis were reported in the literature, of which one case had typical clinical and X-ray findings and three cases were confirmed by autopsy. The four cases of this situation is quite special, are full-term follow-up, no asphyxia, diarrhea and hypertonic milk intake history, but have umbilical infection. On the problem of blood in the stool, put forward bowel dysfunction can make some severe children without hematochezia performance diagnosis of the disease should be against abdominal distension, blood in the stool, vomiting, fecal occult blood and plain film for comprehensive observation and analysis of the pathogenesis and misdiagnosis reasons.