临床小儿外科杂志
臨床小兒外科雜誌
림상소인외과잡지
JOURNAL OF CLINICAL FEDIATRIC SURGERY
2014年
5期
396-400
,共5页
侯龙龙%李仲荣%黄璜%王永飚%刘淼清%朱利斌
侯龍龍%李仲榮%黃璜%王永飚%劉淼清%硃利斌
후룡룡%리중영%황황%왕영표%류묘청%주리빈
小肠结肠炎,坏死性%预后%婴儿,新生
小腸結腸炎,壞死性%預後%嬰兒,新生
소장결장염,배사성%예후%영인,신생
Enterocolitis,Necrotizing%Prognosis%Infant,Newborn
目的:探讨影响新生儿坏死性小肠结肠炎(NEC)患儿预后的相关因素。方法对本院2008年12月至2012年12月收治的124例NEC患儿进行回顾性分析。根据患儿的预后分为死亡组与存活组,比较两组临床资料,分析影响其预后的主要因素。结果两组在出生体重、肠鸣音减弱或消失、WBC≥20×109/L或<4×109/L、代谢性酸中毒、弥漫性腹膜炎、新生儿呼吸窘迫综合征(NRDS)等因素上比较,差异均有统计学意义(P<0.05)。结论极低出生体重、肠鸣音减弱或消失、WBC≥20×109/L或<4×109/L、代谢性酸中毒、弥漫性腹膜炎、NRDS等是影响NEC患儿预后的主要因素,应及早发现并采取综合治疗,以提高NEC患儿存活率。
目的:探討影響新生兒壞死性小腸結腸炎(NEC)患兒預後的相關因素。方法對本院2008年12月至2012年12月收治的124例NEC患兒進行迴顧性分析。根據患兒的預後分為死亡組與存活組,比較兩組臨床資料,分析影響其預後的主要因素。結果兩組在齣生體重、腸鳴音減弱或消失、WBC≥20×109/L或<4×109/L、代謝性痠中毒、瀰漫性腹膜炎、新生兒呼吸窘迫綜閤徵(NRDS)等因素上比較,差異均有統計學意義(P<0.05)。結論極低齣生體重、腸鳴音減弱或消失、WBC≥20×109/L或<4×109/L、代謝性痠中毒、瀰漫性腹膜炎、NRDS等是影響NEC患兒預後的主要因素,應及早髮現併採取綜閤治療,以提高NEC患兒存活率。
목적:탐토영향신생인배사성소장결장염(NEC)환인예후적상관인소。방법대본원2008년12월지2012년12월수치적124례NEC환인진행회고성분석。근거환인적예후분위사망조여존활조,비교량조림상자료,분석영향기예후적주요인소。결과량조재출생체중、장명음감약혹소실、WBC≥20×109/L혹<4×109/L、대사성산중독、미만성복막염、신생인호흡군박종합정(NRDS)등인소상비교,차이균유통계학의의(P<0.05)。결론겁저출생체중、장명음감약혹소실、WBC≥20×109/L혹<4×109/L、대사성산중독、미만성복막염、NRDS등시영향NEC환인예후적주요인소,응급조발현병채취종합치료,이제고NEC환인존활솔。
Objetive To explore the prognostic factors related to the prognosis of neonatal necrotizing enterocolitis(NEC). Methods A retrospective study was given to the 1 24 cases with NEC diagnosed and trea-ted in our hospital from Dec 2008 to Dec 201 2.According to the prognosis,all the cases were divided into 2 groups:survival group and death group.Compared the two groups of clinical data,the main factors infiuencing the NEC patients’prognosis were studied. Results The risk factors included birth weight,absence of bowel sounds,the WBC ≥20 ×1 09/L or the WBC<4 ×1 09/L,metabolic acidosis,diffuse peritonitis,neonatal re-spiratory distress syndrome (NRDS),and other factors.The differences between the two groups had statistical significance(P<0.05).Conclusion Very low birth weight,absence of bowel sounds,the WBC≥20 ×109/L or the WBC <4 ×1 09/L,metabolic acidosis,diffuse peritonitis,NRDS,etc are the main factors influencing the NEC patients prognosis,and should be found as early as possible so that comprehensive treatment could be provided and survival rate of infants with NEC child could be increased.