新生儿呕吐188例原因观察及干预措施

Causes and intervention measures of neonatal vomiting: An analysis of 188 cases

目的分析探讨引发新生儿呕吐的原因及相应正确处理的方法。方法回顾性分析2009年2月～2011年2月我科收治的188例呕吐新生儿的临床资料。结果内科性疾患122例,占64.89%,其中排在前三位疾患依次为:咽下综合症62例,占32.98%,喂养不当16例,占8.51%,胃食道返流16例,占8.51%;外科性疾患66例,占35.1%,其中排在前3位疾患依次为:新生儿坏死性小肠结肠炎26例,占13.82%,先天性巨结肠12例,占6.38%,肥厚性幽门狭窄8例,占4.26%。结论新生儿呕吐属于临床上常见的症状,对呕吐症状的临床资料进行科学分析,及时找出引发新生儿呕吐的原因,实施对症治疗,对于尽快改善症状并治疗具有重要意义。

Objective To analyze and explore the root causes of neonatal vomiting and proper measures of treatment.Methods Clinical data of 188 hospitalized cases of neonatal vomiting from February 2009 to February 2011 were collected and retrospective analysis during the period was conducted.Results Medical disorder occurred in 122 cases（64.89%）.The top three diseases were： 1） swallow syndrome in 62 cases（32.98%）;2）improper feeding in16 cases（8.51%）;3）gastroesophageal reflux in 16 cases（8.51%）.Surgical disorders happened in 66 cases（35.1%）.The top three diseases were as follows：1）neonatal necrotizing enterocolitis in 26 cases（13.82%）;2）12 cases of congenital megacolon（6.38%）;3）hypertrophic pyloric narrow in 8 cases（4.26%）.Conclusion Neonatal vomiting is a common symptom in clinical neonatology.Clinical data of vomiting should be scientifically and timely analyzed so as to identify the real cause of neonatal vomiting.Symptomatic treatment should be implemented as soon as possible to improve the treatment outcome.