新生儿绞窄性肠坏死三例诊治体会

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新生儿绞窄性肠坏死是新生儿期特殊疾病,因其发病率较低,缺乏特殊的临床表现,极易误诊,且愈后严重,我科曾接诊此症3例,现报告如下。男2例,女1例,年龄7-24d,均为足月顺产儿,出生体重3.1-3.6kg,出生时合并轻度窒息1例,生后均为混合喂养,发病前喂养、二便均无异常。均以频繁呕吐为首发症状,其中1例含有少量粪汁样物;其次为血便,1例初为果酱样便,以后均为鲜红色血便,量较多。血便出现时间为呕吐后约2-8h。3例均无明显哭闹,病初腹胀均不明显, Neonatal strangulation of intestinal necrosis is a special disease of neonatal period, because of its low incidence, the lack of special clinical manifestations, easily misdiagnosed, and the more serious, my department had admissions of the disease in 3 cases, are as follows. 2 males and 1 females, aged 7-24 days, all of whom were full-term newborns with a birth weight of 3.1-3.6 kg and 1 case of mild asphyxia at birth. All were mixed feeding, pre-morbidity feeding, No abnormality. Frequent vomiting were the first symptom, of which 1 case contains a small amount of feces samples; followed by bloody stool, a case of early-like jam-like stool, later were bright red bloody stools, the amount of more. Bloody stools appear after vomiting for about 2-8h. No obvious crying in 3 cases, early abdominal distension were not obvious,
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