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目的 探讨胃肠功能障碍的早期诊断、早期治疗及预后。方法 分析胃肠功能障碍的 396例危重症患儿的临床资料。结果 小儿胃肠功能障碍的早期治疗有效率为 94 4 % ,中期为 4 3 0 % ,晚期为 7 9% ;伴呼吸、心脏功能障碍时有效率为 72 6 % ,伴肾脏功能障碍时有效率为 2 8 4 % ,4个或以上器官功能障碍时有效率仅为2 7% ;危重病例评分 <70分者有效率为 4 5 8% ,评分 71～ 90分者有效率为 73 6 %。结论 小儿胃肠功能障碍治疗的疗效与诊治的早晚及伴其它器官功能障碍密切相关 ,危重病例评分越低 ,预后越差。及早诊治、综合治疗是抢救胃肠功能障碍的关键环节。
Objective To investigate the early diagnosis, early treatment and prognosis of gastrointestinal dysfunction. Methods Clinical data of 396 critically ill children with gastrointestinal dysfunction were analyzed. Results The effective rate of early treatment of gastrointestinal dysfunction was 94.4% in pediatric patients, 43.0% in medium term, and 79% in late stage. The effective rate was 72.6% with respiratory and cardiac dysfunction, and the effective rate with renal dysfunction The effective rate was 27.7% for those with 4 or more organ dysfunction, 45.8% for patients with critical illness <70 and 73.6% for those with 71-90. Conclusions The efficacy of treatment of gastrointestinal dysfunction in children is closely related to the diagnosis and treatment and other organ dysfunction. The lower the critical case score, the worse the prognosis. Early diagnosis and treatment, comprehensive treatment is the key to rescue gastrointestinal dysfunction.