新生儿消化道出血临床相关因素分析(附102例报告)

目的:探讨新生儿消化道出血的临床相关原因及预防。方法:对102 例新生儿消化道出血临床资料进行回顾性分析。结果:早产儿消化道出血发生率明显高于足月儿(P<0.05),低出生体重儿明显高于正常出生体重儿(P<0.05),有围生期窒息史者明显高于无窒息史者(P<0.05)。大部分新生儿消化道出血在生后3 d内发病,它的主要病因为新生儿缺氧缺血性脑病、肺透明膜病及重症肺炎。结论:应激性溃疡是新生儿消化道出血的最常见原因。做好围产期保健、降低早产儿的出生率、减少围产期窒息、积极治疗原发病可明显减少新生儿消化道出血的发生率。

Clinical Relative Factors of Neonate Gastrointestinal Hemorrhage--Report of 102 Cases

Objective: To discuss clinical relative factors and prevention of gastrointestinal hemorrhage in neonate. Methods: The clinical data of 102 cases with gastrointestinal hemorrhage in neonate were analyzed retrospectively. Results: The incidence rate of gastrointestinal hemorrhage in premature infants, low birth weight infants and asphyxia neonates was significantly higher compared with that in term infants, normal newborn infants and no-asphyxia neonates (P<0.05). The neonatal gastrointestinal hemorrhage happened most of tenly within the first three days of newborn infants. Hypoxic-Ischemic Encephahpathy, NRDS and severe pneumonia were the main diseases related to neonatal gastrointestinal hemorrhage. Conclusion:Gastric stress ulcer was the main cause of neonatal gastrointestinal hemorrhage. Good perinatal care, low incidence of premature delivery, low incidence of perinatal asphyxia and active treatment of the original diseases can reduce the incidence of neonatal gastrointestinal hemorrhage obviously.