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目的了解新生儿窒息并发胃肠功能障碍的临床特点,提高该病诊断与治疗水平。方法对168例新生儿窒息引起胃肠功能障碍的43例患儿进行回顾性分析。结果新生儿窒息引起胃肠功能障碍的发生率为26.0%,仅次于脑、肾损害的发生率(68.5%、41.1%)。其中轻度胃肠功能障碍占72.1%,重度胃肠功能障碍占27.9%。早期临床表现以食欲差、拒奶、频繁呕吐、轻度腹胀及肠鸣音减弱等为主,晚期临床表现为肠鸣音消失、高度腹胀。胃肠功能障碍治疗有效率为83.7%。结论对窒息新生儿应警惕胃肠功能障碍,应早诊断、早治疗,预防多器官功能衰竭综合征发生,降低病死率。
Objective To understand the clinical characteristics of neonatal asphyxia complicated with gastrointestinal dysfunction and to improve the diagnosis and treatment of the disease. Methods A retrospective analysis was performed on 43 children with gastrointestinal dysfunction caused by asphyxia in 168 neonates. Results The incidence of gastrointestinal dysfunction caused by neonatal asphyxia was 26.0%, second only to the incidence of brain and kidney damage (68.5%, 41.1%). Among them, mild gastrointestinal dysfunction accounted for 72.1%, severe gastrointestinal dysfunction accounted for 27.9%. Early clinical manifestations of poor appetite, refused to milk, frequent vomiting, mild abdominal distension and bowel sounds weakened mainly clinical manifestations of late bowel sounds disappear, a high degree of abdominal distension. The effective rate of treatment of gastrointestinal dysfunction was 83.7%. Conclusion Asphyxia neonates should be alert to gastrointestinal dysfunction, should be early diagnosis and early treatment, prevention of multiple organ failure syndrome, reduce mortality.