新生儿消化道微血管损伤的分析和对策——附96例临床报告

目的了解新生儿消化道微血管损伤导致出血的病因,探讨防治措施。方法对我院96例新生儿消化道出血进行临床分析,总结出血病因及防治方法。结果96例中新生儿出血症24例(25%),坏死性小肠结肠炎5例(5.2%),应激性溃疡67例(69.8%),除2例自动出院外,治愈率为93.62%(88/94)。结论应激性溃疡的原因主要有出生时窒息、早产、重症感染、硬肿症、休克。应激性溃疡导致微血管损伤是新生儿消化道出血的最常见原因,为新生儿危重病症的合并症。加强围产期保健,根据不同的病因对症处理,选择止血药物及特殊的护理可减少新生儿消化道出血的发生率。

Analysis and Strategy to Injury of Capillary Vessel in Digestive Tract of Newborn——with 96 Clinical Reports

Objective To learn the causes about neonate hemorrhage of digestive tract and probe into the way of prevention and cure. Methods To analyse 96 cases of neonate hemorrhage of digestive tract and summarize the cause of hemorrhage,prevention and cure measures. Results In 96 cases,24 cases are hemorrhagic diseases of newborn(25%),5 cases have necrotizing enterocolitis(5.2%),67 cases have stress ulcer(69.8%). The total cure rate is 93.62% (88/94) in the 96 cases (except 2 cases leaving hospital voluntarily). Conclusion Stress ulcer is the common cause of the neonate hemorrhage of digestive tract. It is the complication of serious neonate disease. Principally Causes for stress ulcer are mainly asphyxia at birth,premature birth,serious infestation,scleredema and shock. Strengthening the health protection in prenatal period will reduce the incidence of hemorrhage of digestive tract.