保守治疗新生儿急性坏死性小肠结肠炎36例分析

Analysis of conservative treatment of neonatal acute necrotizing enterocolitis in 36 cases

目的：探讨保守治疗新生儿急性坏死性小肠结肠炎的临床疗效。方法选择本院自2012年1月~2013年10月收治的36例急性坏死性小肠结肠炎患儿的临床资料，据相关的病史、临床表现及X线检查确诊后，采取保守治疗。结果患儿经保守治疗，全部Ⅰ级以及9例Ⅱ级痊愈；6例Ⅱ级无效，并转手术治疗，其中4例因重症肺炎、心脏及多脏器衰竭等并发症而死亡。结论新生儿急性坏死性小肠结肠炎Ⅰ~Ⅱ级患儿可采用保守治疗，但应注意在喂养、抗生素治疗方面的矛盾问题。

Objective To evaluate the clinical curative effect of conservative treatment of neonatal acute necrotizing enterocolitis. Methods 36 patients with acute necrotizing enterocolitis in children who were treated conservatively from January 2011 to October 2013 in our hospital, according to the relevant medical history, clinical manifestations and X-ray examination. Results After conservative treatment, all ofⅠgrade and nine cases ofⅡgrade got cured. But 6 cases ofⅡgrade were invalid, and turn to the operation treatment, four cases of them died due to severe pneumonia, heart failure, multiple organ failure, and other complication. Conclusion Neonatal acute necrotizing enterocolitis that is inⅠ~Ⅱgrade could be treated conservatively, but should be pay attention to the treatment of contradictions of feeding and application of antibiotics.