| 新生儿坏死性小肠结肠炎62例疗效观察 |
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| 引用本文： | 徐向荣.新生儿坏死性小肠结肠炎62例疗效观察[J].河南外科学杂志,2000(3). |
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| 作者姓名： | 徐向荣 |
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| 作者单位： | 河南省开封市儿童医院外科 475000 |
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| 摘 要： | 目的:探讨62例新生儿坏死性小肠结肠炎(NEC)的诊治与疗效。方法:62例中早产儿及足月未成熟儿32例,足月儿30例。手术10例,其中肠切除肠吻合4例,肠造瘘6例;52例行保守治疗。本组病例均在综合治疗的基础上给予静脉高营养(TPN)疗法。TPN液经周围静脉输入。应用TPN时间为6～30d。在实验室监测情况下用TPN。结果:治愈56例,治愈率为90.3％。死亡6例,占9.7％。结论:新生儿NEC应早期诊断,在综合治疗的基础上应用TPN疗效满意。
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| 关 键 词： | 新生儿 小肠结肠炎 静脉高营养 |
Treatment of 62 Cases With NEC |
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| Xu Xiangrong,Niu Xueyi Dept. of Pediatric Surgery,Kajfeng Children's Hopsital,Kaifeng ,China.Treatment of 62 Cases With NEC[J].Henan JOurnal of Surgery,2000(3). |
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| Authors: | Xu Xiangrong Niu Xueyi Dept of Pediatric Surgery Kajfeng Children's Hopsital Kaifeng China |
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| Institution: | Xu Xiangrong,Niu Xueyi Dept. of Pediatric Surgery,Kajfeng Children's Hopsital,Kaifeng 475000,China |
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| Abstract: | Objective: To study the diagnosis, treatment and curative effect of 62 cases with NEC. Methods: Among the 62 cases, 32 were premature or full-term immature infants,30 cases were full-term infants. Fifty-two cases were treated with conservative treatment.Ten cases underwent operations:4 with enterectomy and entero-anastomosis, 6 with enterostomy. All cases, no matter operated on or not,received TPN via peripheral vein on the basis of complex treatment. The duration of TPN application was 6 to 30 days. Laboratory monitoring were conducted during TPN applicati on periold. Results: Fifty-six (90.3%) were cured. Six(9.7%) died. Conclusions: NEC should be early diagnosed. The curate effect of TPN therapy with complex treatment for NEC is quite astisfactory. |
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| Keywords: | New-born Enterocolitis TPn |
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