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目的探讨腹部平片在新生儿坏死性小肠结肠炎诊疗过程中的价值。方法选择我院2013年1月至2014年3月我院收治的新生儿坏死性小肠结肠炎18例患儿,对其腹部平片及临床资料进行分析。结果腹部平片的诊断结果,肠管充气扩张且充气不均4例,伴胃泡影增大6例,肠管充气且形态显僵直,肠壁增厚模糊3例,肠壁积气6例,门静脉积气1例,肠穿孔气腹3例。临床治愈15例,3例发生中毒性休克放弃治疗。结论腹部平片在新生儿坏死性小肠结肠炎早期诊断、病情发展情况的评估以及治疗时机的选择提供依据,在诊疗过程起到了重要的作用。
Objective To investigate the value of abdominal plain film in the diagnosis and treatment of neonatal necrotizing enterocolitis. Methods 18 cases of neonatal necrotizing enterocolitis admitted in our hospital from January 2013 to March 2014 were selected and their abdominal plain film and clinical data were analyzed. Results The diagnosis of abdominal plain film showed that the bowel was inflated and inflated in 4 cases, with the increase of gastric bubble in 6 cases. The bowel was inflated and the morphology was stiff. The thickening of the bowel wall was obscured in 3 cases, the intestinal wall accumulated in 6 cases, Gas in 1 case, intestinal puncture pneumoperitoneum in 3 cases. Clinical cure in 15 cases, 3 cases of toxic shock to give up treatment. Conclusion Abdominal plain film in neonatal necrotizing enterocolitis early diagnosis, assessment of the development of the disease and the timing of treatment provide the basis for the diagnosis and treatment process has played an important role.