查詢結果分析
來源資料
相關文獻
- Necrotizing Enterocolitis in Newborn: Nine Years' Experience
- Hirschsprung's Disease Presenting with Diffuse Intestinal Pneumatosis in a Neonate
- 伴有腸壁積氣症之嬰兒壞死性腸炎
- Cyanotic Congenital Heart Disease and Necrotizing Enterocolitis: Report of Three Cases
- Unexplained Post-traumatic Pneumoperitoneum--A Case Report
- 一位罹患壞死性腸炎低體重早產兒的護理經驗
- 小兒腹脹、黃疸、水腫
- 淺談「腹脹氣」之辨證論治
- 脾胃與身疼痛的關係
- 壞死性腸炎
頁籤選單縮合
題名 | Necrotizing Enterocolitis in Newborn: Nine Years' Experience=新生兒壞死性腸炎:九年臨床回顧 |
---|---|
作者 | 洪芳芝; 黃崇濱; 黃嵩雀; 謝志松; 莊錦豪; Hung, Fang-chih; Huang, Chung-bin; Huang, Song-chei; Hsieh, Chih-sung; Chuang, Jiin-haur; |
期刊 | 長庚醫學 |
出版日期 | 19970300 |
卷期 | 20:1 1997.03[民86.03] |
頁次 | 頁29-33 |
分類號 | 417.517 |
語文 | eng |
關鍵詞 | 壞死性腸炎; 腹脹; 胃滯留量增加; 生命徵象不穩定; 腸壁積氣; 腹腔積氣; Necrotizing enterocolitis; Abdominal distension; Gastric retention; Unstable vital signs; Pneumatosis intestinalis; Pneumoperitoneum; |
中文摘要 | 背景:新生兒壞死性腸炎是臨床上容易導致腸胃道嚴重變化的一種疾病,尤其好發於低體重早產兒。為了將此症之臨床表現作一整體性分析,我們回顧本院九年中診斷為壞死腸炎之病例。 方法:我們收集了民國75年9月1日至84年9月1日,於本院新生兒加護病房診斷為壞死性腸炎之病例,共22名。針對其病人特徵、周產期病史、哺餵情形、臨床症狀、實驗室檢驗及治療方式和結果,逐項予以整理分析。 結果:這22名病例,平均妊娠週數為32週,出生體重為1774公克,早產兒佔82%,足月兒18%,平均發病年齡為11天大。最常見的臨床症狀依序為腹脹(100%)、胃滯留量增加(64%)、生命徵象不穩定(59%)及嘔出物或糞便呈潛血陽性反應(36%)。其中16例屬第三級病變,經積極性內外科治療,仍併發很高的致病與死亡率;另外2例為第一級,4例為第二級病變,此6例只接受內科治療,皆存活且無併發症。 結論:根據以上的回顧分析,我們認為早產兒是發生新生兒壞死性腸炎最重要的危險因子。所以在早產兒醫療過程中,針對最常見的臨床表現,時時保持高警覺性,對於此症的早期診斷治療及預後應有莫大的幫助。 |
英文摘要 | BACKGROUND: Necrotizing enterocolitis (NEC) is the most significant acquired gastronitestinal (GI) emergency in the neonatal intensive care unit. METHODS: We sought to gain a clinical perspective on NEC by reviewing the records of NEC patients over a 9-year period. The case histories of 22 infants with NEC treated from September 1, 1986 to September 1, 1995 were reviewed. RESULTS: Mean gestational age was 32 weeks and mean birth weight was 1774 grams. Eighteen percent were full term babies and 82 % were premature. Average age at the onset of NEC was 11 days. The most common clinical manifestations were abdominal distension (100%), gastric retention (64%), unstable vital signs (59%) and Guaiac-positive vomitus or stool (36%). Sixteen cases (73%) were classified as stage Ⅲ NEC, which has the highest mortality and/or morbidity. CONCLUSIONS: Early identification and management are critical to improve the outcome of NEC. |
本系統之摘要資訊系依該期刊論文摘要之資訊為主。