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目的:探讨足月新生儿呕吐常见病因及发病时间。方法:对135例有呕吐的足月新生儿的临床资料进行回顾性分析。结果:135例足月新生儿呕吐病例中,内科性疾病111例,最常见的是咽下综合征、胃食管反流和感染,除咽下综合征多发生于生后72 h,其他多见于生后2周左右;外科性疾病24例,主要有消化系统畸形、肠梗阻。结论:准确及时发现足月新生儿呕吐的主要病因,对新生儿呕吐的治疗与预后具有十分重要的意义。
Objective: To investigate the common etiology and pathogenesis of term neonates. Methods: The clinical data of 135 full-term newborns with vomiting were retrospectively analyzed. Results: Among the 135 cases of full-term neonatal vomiting, 111 cases of medical diseases were found, the most common ones were swallowing syndrome, gastroesophageal reflux and infection. The incidence of swallowing syndrome was 72 hours after birth, 2 weeks after birth; surgical diseases in 24 cases, mainly digestive system deformity, intestinal obstruction. Conclusion: Accurate and timely detection of the main etiology of full-term neonatal emesis is very important for the treatment and prognosis of neonatal vomiting.