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新生儿坏死性小肠结肠炎的临床治疗效果 预览

Clinical treatment effects of neonatal necrotizing enterocolitis
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摘要 目的:观察新生儿环死性小肠结肠炎(NEC)患儿的临床治疗效果。方法:选择32例NEC新生儿作为研究对象。观察内科、外科不同治疗方法及治愈率。结果:32例患儿中手术治疗19例,其中腹腔冲洗引流术1例,肠外置切除坏死肠管12例;肠穿孔修补3例,肠切除肠吻合3例,手术治疗治愈18例,治愈率94.74%,死亡1例,死亡率5.26%。内科治疗13例,所有患儿绝对禁食,行胃肠减压,给予肠外营养支持,保持电解质及酸碱平衡稳定,13例患儿痊愈,痊愈率100%。结论:手术及非手术均是治疗NEC重要方法,临床可根据患儿实际情况选择合适的治疗方案。 Objective: To investigate clinical effects of neonatal necrotizing enterocolitis (NEC). Methods: 32 NEC neonates were selected, and received the different treatment methods. Then, the cure rates were compared. Results: Among the 32 patients, 19 cases underwent the surgical treatments, including 1 case of peritoneal irrigation and drainage, 12 cases of necrotic intestinal tube resection, 3 cases of intestinal perforation repair, 3 cases of intestinal resection and anastomosis. Among the 19 cases, 18 cases were cured with a cure rate of 94.74%, and 1 cases died with a mortality rate of 5.26%. 13 patients were treated with medical treatment. During the treatment, all the 13 cases were absolutely fasted, and given the gastrointestinal decompression and parenteral nutrition support to maintain the stable electrolyte level and acid-base balance. The 13 patients were all cured with the cure rate of 100%. Conclusions: Both surgical and non-surgical treatments are important methods for the treatment of NEC. Clinically, the appropriate treatment protocol can be selected according to the actual situation of the child.
作者 王鎏 WANG Liu(Nanyang City Central Hospital, Nanyang 473000 Henan, China)
机构地区 南阳市中心医院
出处 《中国民康医学》 2019年第10期142-143,共2页 medical journal of chinese peoples health
关键词 新生儿 坏死性小肠结肠炎 手术治疗 内科 Neonate Necrotizing enterocolitis Surgical treatment Internal medicine
作者简介 王鎏(1990.01-),女,汉族,河南省西峡县人,本科,住院医师,研究方向:小儿急诊外科、新生儿外科,邮箱:873212201@qq.com。
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