论文部分内容阅读
现将我院新生儿病房1990年1月至1994年6月收治的46例新生儿坏死性小肠结肠炎(NEC)患儿作一病因分析。一般资料:本组男35例,女11例。发病日龄<1天6例占13%,～10天33例占71.7%,>10天7例占15.3%。46例中足月儿18例占39.2%,早产及低出生体重儿28例占60.8%。临床表现和分期:住院期间表现腹胀者45例(97.8%),呕吐41例(90%),大便性状改变41例(90%),发热18例(39%),黄疸16例(35%)。按 Bell分期,Ⅰ期14例(30.4%),Ⅱ期14例(30.4%),Ⅲ期18例(39.2%)。病因分析:(1)早产与低体重:本组病例中早产儿与低体重儿共28例,占60.8%,平均胎龄为31.6
Now in our hospital neonatal ward 1990 January to 1994 June 46 cases of neonatal necrotizing enterocolitis (NEC) in children for a cause analysis. General information: The group of 35 males and 11 females. Day of onset <1 day 6 cases accounted for 13%, ~ 10 days 33 cases accounted for 71.7%,> 10 days 7 cases accounted for 15.3%. Among 46 cases of full-term infants, 18 cases accounted for 39.2%, and 28 cases of premature and low birth weight children accounted for 60.8%. Clinical manifestations and stages: 45 cases (97.8%) showed abdominal distension during hospitalization, 41 cases (90%) had vomiting, 41 cases (90%) changed stool characteristics, 18 cases (39%) fever and 16 cases (35% . According to Bell staging, 14 cases (30.4%) were in stage I, 14 cases (30.4%) in stage II and 18 cases (39.2%) in stage III. Etiology analysis: (1) premature birth and low body weight: 28 cases of premature children and low birth weight in this group of cases, accounting for 60.8%, the average gestational age was 31.6