【摘要】 目的 探讨危重症患儿中胃肠功能障碍的早期诊断与治疗及对预后的影响。 方法 回顾性分析286例并发胃肠功能障碍的危重症患儿的抢救成功率及其影响因素。 结果 危重症的治疗有效率在并发胃肠功能障碍且于早、中、晚期诊治者分别为91.1%、47.4%、9.3%;同时伴呼吸、心脏功能障碍或肾脏、脑功能障碍者分别为71.2%、31.9%，4个或4个以上器官功能障碍者仅2.1%;在危重病评分70～90分或<70分者分别为72.6%、38.0%。 结论 危重症患儿治疗效果与胃肠功能障碍诊治早晚、危重病评分及是否伴其他器官功能障碍密切相关。胃肠功能障碍的早期诊断与综合治疗是危重症抢救成功的关键环节。

    关键词 危重症 胃肠功能障碍 早期诊断 早期治疗 预后

    The effects of early management of gastrointestinal dysfunction on the prognosis in critical ill children

    You Jin′an，Lin Jianguo，Lin Zexiang

    Department of Pediatrics，The People's Hospital of Xinhui，Guangdong529100.

    【Abstract】 Objective To study the effects of early diagnosis and treatment of gastrointestinal dysfunction on the curative rate in critical ill children.Methods 286critical ill children with gastrointestinal dysfunction were re-viewed.The curative rate as well as the affective factors on the consequence were studied.Results The curative rate in patients whose diagnosis of gastrointestinal dysfunction was made in early ......