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早产儿坏死性小肠结肠炎临床分析(1)
http://www.100md.com 2012年3月1日 健康必读·下旬刊 2012年第3期
     【中图分类号】R917 【文献标识码】A 【文章编号】1672-3783(2012)03-0013-01

    【摘要】目的 探索早产儿坏死性小肠结肠炎的临床治疗方法。方法 对28例患儿采取禁食、胃肠减压、静脉营养、抗感染、纠正酸碱平衡紊乱及水电解质紊乱、循环支持等治疗,并结合母乳喂养。结果 28例患儿中,治愈20例(71.4%) ,恶化7例(25.0%),死亡1例(3.6%)。结论 治疗早产儿坏死性小肠结肠炎的关键在于及时诊断、系统治疗,还应将母乳喂养作为治疗工作的一部分。

    【关键词】早产儿;坏死性小肠结肠炎;临床治疗

    Clinical analysis of necrotizing enterocolitis in premature neonates

    Li Xiaoyan

    (Department of pediatrics, Jingxi People's Hospital, Jingxi, Guangxi)

    【Abstract】Objective To study the clinical treatment of necrotizing enterocolitis in premature neonates. Methods 28 cases of necrotizing enterocolitis in premature neonates in fasting, reducing gastro intestinal pressure, parenteral nutrition, antiinfection, rectifying the imbalance of correct electrolyte and acid-base disturbances, circulation support and so on, as well as breast feeding. Results Between the 28 cases, 20 cases recovered(71.4%), 7 cases deteriorated (25.0%), 1 case died(3.6%). Conclusion The key to the clinical treatment of necrotizing enterocolitis in premature neonates is real-time diagnostic and systemic therapy. In addition, breast feeding should be part of clinical treatment. ......
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