小儿胃肠功能障碍46例临床疗效分析

Clinical analysis of 46 cases of gastrointestinal dysfunction in children

目的探讨小儿胃肠功能障碍的临床诊疗方法及其疗效分析。方法针对不同原发病,采取不同的治疗方案。保护重要脏器,如:心、脑、肾等的功能,改善微循环,补充足够热量和补充电解质。并进行疗效判断。结果 46例患儿中显效36例,有效4例,无效6例,其中2例死亡,4例自动出院。有效率86.96%,无效率13.04%。死亡者均为1岁内婴儿并发多器官功能衰竭。结论应用新斯的明、碳酸氢钠、H2受体拮抗剂及多巴胺等药物,改善了患儿的胃肠功能障碍、微循环及胃肠道功能,大部分患儿未发生严重的多脏器功能损害,取得了较好的效果。

Objective To investigate the clinical pediatric gastrointestinal dysfunction treatment method and its efficacy analysis. Methods Gastrointestinal dysfunction in children with rational use of antibiotics in the treatment of primary disease, based on the maintenance of the heart, lungs, brain, kidneys and other vital organs function and water and electrolyte balance. And make effective judgments. Results 46 cases were markedly effective in 36 cases, effective in 4 cases, 6 cases, including two deaths, four cases were discharged. Efficiency 86.96%, 13.04% inefficiency. Who died within 1 year old baby are complicated by muhiple organ failure. Conclusion Neostigmine, sodium bicarbonate, H2 receptor antagonists such as adjusting the environment, improve microcirculation treatment of children with gastrointestinal dysfunction, and achieved good Results, especially for mild to moderate gastrointestinal dysfunction. This method uses a simple, inexpensive, especially at the grassroots level hospitals also should be widely applied.