CAJ | 학술논문

目的：分析新生儿坏死性小肠结肠炎(NEC)的 X 线征象及临床因素,提高对新生儿 NEC 的认识。方法回顾性分析经临床及手术确诊的21例新生儿 NEC 患者的腹部 X 线平片、临床资料及危险因素。结果NEC 的 X 线表现：Ⅰ期,肠动力性改变,肠间隙增厚≤2 mm 者10例；Ⅱ期,①肠间隙增厚>2 mm(4例)；②肠壁积气(4例)；③门静脉积气(3例)；Ⅲ期,①明确腹腔渗液(3例)；②气腹(3例)。早产儿18例(85%)；低体重儿16例；新生儿呼吸窘迫综合征、感染、肺炎、败血症和机械通气是 NEC 重要的危险因素。结论新生儿 NEC 的 X 线征象早期缺乏特征性,中晚期具有特征性表现,明确诊断需结合临床表现及致病危险因素,必要时动态随观。
목적：분석신생인배사성소장결장염(NEC)적 X 선정상급림상인소,제고대신생인 NEC 적인식。방법회고성분석경림상급수술학진적21례신생인 NEC 환자적복부 X 선평편、림상자료급위험인소。결과NEC 적 X 선표현：Ⅰ기,장동력성개변,장간극증후≤2 mm 자10례；Ⅱ기,①장간극증후>2 mm(4례)；②장벽적기(4례)；③문정맥적기(3례)；Ⅲ기,①명학복강삼액(3례)；②기복(3례)。조산인18례(85%)；저체중인16례；신생인호흡군박종합정、감염、폐염、패혈증화궤계통기시 NEC 중요적위험인소。결론신생인 NEC 적 X 선정상조기결핍특정성,중만기구유특정성표현,명학진단수결합림상표현급치병위험인소,필요시동태수관。
Objective To study the X-ray findings and clinical factors of the neonatal necrotizing enterocolitis (NEC)and to im-prove the detection rate of neonatal NEC-especially early lesions.Methods To retrospectively analyzed the plain abdominal radio-graphy images and clinical data of the 21 cases with confirmed neonatal NEC by clinical and surgical diagnosis.Results The X-ray findings of neonatal NEC:stageⅠ:10 cases showed the changes in intestinal motility and the interval thickness between the intestine≤2 mm;stageⅡ:① 4 cases showed the interval thickness between the intestine > 2 mm;② 4 cases showed the pneumatosis of the intestinal wall;③ the pneumatosis of the portal vein were three cases;stage Ⅲ:① 3 cases showed seroperitoneum;② pneumoper-itoneum were three cases.18 cases (85%)were the premature infan;1 6 of 21 cases NEC were the low birth weight;neonatal re-spiratory distress syndrome,infection,pneumonia,sepsis,and mechanical ventilation therapy are important risk factors of NEC. Conclusion X-ray findings has characteristic signs in the neonatal NEC.At the early of NEC,it is very important to make the correct diagnosis need combine X-ray performance with the clinical manifestations and risk factors for,with the necessary dynamic follow-up review in the clinical treatment and prognosis.