新生儿呕吐486例临床分析

486 examples of the newborn vomits clinical analysis

目的：探讨新生儿呕吐的病因及早期诊断。方法：查阅2005年12月～2007年12月，新生儿呕吐病例，进行统计及回顾性分析。结果：486例中，与内科疾病有关的呕吐429例，占88．27％，其中感染性疾病177例，非感染性疾病252例，消化道畸形引起的呕吐57例。感染性疾病以肠炎、呼吸道感染、脐炎、败血症，脑炎多见。非感染性疾病以早产儿、咽下综合症、颅内出血、缺氧缺血性脑病、胃食管反流、幽门痉挛多见。消化道畸形以肥厚性幽门狭窄、巨结肠、肠旋转不良及闭锁、狭窄多见。结论：新生儿呕吐应积极查明原因，早期诊断，早期治疗。

Objective： Discusses the cause of disease which the newborn vomits and early diagnosis. Methods ：Consults the case of the newborn vomitting in December, 2005 -December, 2007 ,I carry on the statistics and the review analysis. Results：That is the internal medicine department disease related vomit 429 examples in 486 examples, which accounts for 88.27%. The infectious diseases are 177 examples, the non-infectious diseases are 252 examples, abnormal vomits which the digestive tract causes are 57 examples. The main infectious diseases are the enteritis, the respiratory infections, the navel inflammation, the septicaemia and the encephalitis. The main noninfectious diseases are the premature infant, the swallows syndrome, the encephalic hemorrhage, oxygen deficit anemic brain illness, the stomach esophagus regurgitation, and the pylorospasm. The main abnormal digestive tract diseases are the hypertrophic pyloristenosis, the giant colon, the intestines malrotation, the block system and narrow. Conclusion： The newborn vomits should verify the reason positively, the early diagnosis, the early treatment.