摘要
新生儿坏死性小肠结肠炎(neonatal necrotizing enterocolitis,NEC)是新生儿期最常见的急腹症,好发于早产儿,早产和败血症是易感因素,易导致肠坏死和肠穿孔。由于NEC的早期诊断和有效的保守治疗及手术治疗水平的提高,NEC抢救成功率显著提高,但NEC导致的并发症随之增加。肠狭窄是NEC后最常见的继发性病变,发生率约为11.0%~35.0%。肠狭窄的早期症状缺乏特异性,易于漏诊或误诊,继而引起生长发育迟缓、营养不良甚至出现穿孔、败血症和死亡等后果。
Neonatal necrotizing enterocolitis（ NEC） is a common acute abdomen in newborns. Premature infants,especially who have ever involved in infection or anoxia,are quite liable to NEC. NEC is likely to cause intestinal necrosis or intestinal perforation. As the neonatology develops,the survival rate of premature infant and very low birth weight（ VLBW） improves too,which at the same time increases the incidence of NEC in newborns. The increasing early diagnosis rate of necrotizing enterocolitis,effective conservative or surgical treatments are saving more and more NEC infants,which also bring higher incidences of NEC complications. Enterostenosis is the most common complication of NEC patient who was given a conservative treatment,and its incidence is as high as 15% ~ 57%. It is difficult to differentiate from feeding difficulties and gastroenteritis due to the lack of specific clinical manifestations in early enterostenosis,which makes the early diagnosis of enterostenosis seems difficult and missed diagnosis or misdiagnosis occurred. Enterostenosis may cause growth retardation,malnutrition or even severe consequences such as enterobrosis,sepsis or death. At present,enterostenosis of NEC has already attracted various medical workers＇ attention. Basing on all of the above,our paper took a review on the progress of diagnosis and surgical treatments to enterostenosis.
出处
《临床外科杂志》
2017年第12期949-951,共3页
Journal of Clinical Surgery
关键词
新生儿坏死性小肠结肠炎
肠狭窄
临床特点
neonatal necrotizing enterocolitis
enterostenosis
clinical features
