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目的 探讨胃肠功能衰竭的早期临床特点和预后。方法 回顾分析 5 3例胃肠衰竭者的临床资料。结果 小儿胃肠衰竭的发生率为 2 .6 8% ,早期症状可为单纯腹胀、大便潜血强阳性、腹胀并大便潜血强阳性和明显上消化道出血 ;而肠鸣音可亢进、减弱、消失 ,甚至正常。胃肠衰竭小儿平均伴有器官衰竭的数目为 1.83个 ,病死率为 6 0 .4% ,且死亡者较存活者的血糖高、肾功能差、心肌酶高 ,酸中毒严重。结论 胃肠衰竭小儿早期诊断困难 ,预后差
Objective To investigate the early clinical features and prognosis of gastrointestinal failure. Methods The clinical data of 53 patients with gastrointestinal failure were retrospectively analyzed. Results The incidence of gastrointestinal failure in children was 2.68%. The early symptoms were simple abdominal distension, strong positive stool occult blood, abdominal distension and strong positive stool occult blood and obvious upper gastrointestinal bleeding. The bowel sounds could be hyperthyroidism, weakened and disappeared , Even normal. Gastrointestinal failure, the average number of children with organ failure was 1.83, the mortality rate was 60.4%, and those who died compared with those living in high blood sugar, poor kidney function, high myocardial enzymes, severe acidosis. Conclusion Gastrointestinal failure in early diagnosis of children with poor prognosis