57例新生儿坏死性小肠结肠炎临床分析

目的研究新生儿坏死性小肠结肠炎发病特点,严重程度的高危因素。方法将笔者所在医院2007年1月～2012年1月收治的57例新生儿坏死性小肠结肠炎临床资料作一回顾性分析。结果约90%NEC发生于胎龄<36周患儿,早产儿、感染、动脉导管未闭、红细胞增多、非母乳喂养为NEC高危因素。结论 NEC好发于早产儿,穿孔率高,病死率高,临床表现不典型,早期诊断困难,降低NEC死亡率关键在于预防NEC发生。

Clinical analysis of neonatal necrotizing enterocolitis on 57 cases

Objective To study neonatal necrotizing enterocolitis characteristics of the disease, the severity of the risk factors. Methods The hospital in January 2007 to January 2012 admitted to the clinical data of 57 cases of neonatal necrotizing enterocolitis, a retrospective analysis. Results About 90% of NEC occurred at a gestational age less than 36 weeks in children.Premature children, infection, patent ductus arteriosus, polycythemia, non-breastfeeding were the risk factors for NEC. Conclusion NEC occurs in premature infants, perforation rate, high mortality, atypical clinical manifestations, early diagnosis is difficult and reduce NEC mortality critical to the prevention of NEC occurred.