急性出血性坏死性肠炎(附27例分析)

ACUTE HEMARRHAGIC NECROTYZING ENTERITIS ——AN ANALYSIS ON 27 CASES

本文回顾分析坏死肠炎27例,患者89％为儿童,其中5—14岁儿童占74.1％。多发生于夏秋季,其发病与蛔虫有关。坏死性肠炎临床表现复杂而不典型,易误诊,本组入院时误诊率59.3％。故作者对本病的病因、诊断、临床分型、非手术疗法的原则及手术指征等都作了讨论。

This paper reviewed 27 cases with acute hemarragic necrotyzing enteritis (AHNE). Most of them were children 89.0%, especially in the children aged 5～14 years old (74.1%), with 17 males and 10 females. 9 cases out of 27 were operated on and the others were treated by medicines. The cure rate was 63% and the motality was 29.6%.The clinical results showed that AHNE was most prevalent in summer and in autum, and indicated that roundworm infections might be the pathogenesis of the disease. As the clinical manifestations of AHNE were complex and atypic, it accounted for a high misdiagnosis rate (59.3%) in this group. So, authors disscussed the contents including the pathogenesis,clinical types, principles of nonoperative treatment and the selection of operative time.