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頁籤選單縮合
題 名 | Meconium Obstruction in Very Low Birth Weight Premature Infants=極低體重早產兒的胎便阻塞症 |
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作 者 | 尤雲雲; 洪漢陽; 高信安; 許瓊心; 張瑞幸; 詹偉添; 黃富源; | 書刊名 | Clinical Neonatology |
卷 期 | 14:1 2007.06[民96.06] |
頁 次 | 頁1-5 |
分類號 | 417.5171 |
關鍵詞 | 極低體重; 早產兒; 胎便阻塞症; Prematurity; Very low birth weight; VLBW; Meconium obstruction; |
語 文 | 英文(English) |
英文摘要 | Objective: The aim of this study was to identify the clinical signs and symptoms, clinical diagnosis and management of meconium obstruction in preterm and very low birth weight (VLBW) infants. We also wanted to identify the risk factors associated with meconium obstruction in prematurity. Methods: The medical records of premature infants with a diagnosis of meconium obstruction during a 5-year period were admitted to the neonatal intensive care unit (NICU) at the Mackay Memorial Hospital, Taipei, Taiwan were investigated. Infants with the diagnosis of gastroschisis, intestinal atresia, Hirschsprung’s disease, microcolon, malrotation, motility disorder, volvulus, sepsis, hypothyroidism and congenital anomalies were excluded. Results: Twelve infants were included in our study. Maternal hypertension was seen in five cases and four received MgSO4. The average time of first stool passage was 2.75 days. Abdominal distension developed between the ages of 3 to 14 days with a mean of 6.58 days of life. Forty-two percent of the symptomatic infants experienced resolution of obstruction using warm isotonic sodium chloride solution or diluted Gastrograffin enema alone. Four infants complicated with intestinal perforation. Conclusion: The risk factors include maternal history of hypertension with or without magnesium sulfate therapy. These premature infants with meconium obstruction are not clinically sick. Isotonic sodium chloride solution enemas are safe and effective intervention. Delayed diagnosis was associated with perforation and postponement in attaining adequate enteral feeding. |
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