危重症小儿44例急性胃肠功能障碍临床分析

目的探讨危重症患儿胃肠功能障碍的病因诊断与治疗方法。方法对住院明确诊断的44例危重儿并发急性胃肠功能障碍临床资料进行回顾性分析。结果轻度胃肠功能障碍29例占66％，治疗有效率100％；重度胃肠功能障碍15例占34％，死亡3例，治疗有效率80％；总死亡率为0．6％。结论胃肠功能障碍是胃肠衰竭的早期表现，病情属可逆性，早期积极治疗原发病，采取有效的综合治疗措施，能有效地治疗胃肠衰竭。

Clinical Studies on Gastrointestinal Dysfunction in 44 Children with Critical Diseases

Objective To explore the methods for etiological diagnosis and treatment of gastrointestinal dysfunction in children with critical diseases. Methods Clinical data of 44 children with critical diseases complicated with gastrointestinal dysfunction were retrospectively analyzed. Results Among all the 44 patients with gastrointestinal dysfunction,66% （n = 29）were of mild degree and 34%（n = 15）were of severe degree. After treatment, 100%（n = 29）of the mild cases and 80%（n = 12）of the severe cases were cured,but 0.6% （n = 3）of all the cases died. Conclusion Gastrointestinal dysfunction is the early manifestation of gastrointestinal function failure and can be reversed. Treatment of primary diseases in early stage and comprehensive treatment can be effective ways in the treatment of gastrointestinal function failure.