新生儿消化道出血48例临床观察分析

Clinical Observation on 48 Newborns With Alimentary Tract Hemorrhage

目的分析新生儿消化道出血的原因,并探讨有关治疗方法。方法对东莞三局医院2011-08/2013-08收治的新生儿消化道出血患者48例临床资料,开展回顾性分析。结果低出生体重、新生儿窒息发生、早产等发生新生儿消化道出血比例较高(P<0.05),48例消化道出血患儿通过对症治疗后,显效患儿30例,有效患儿17例,无效患儿1例,总有效率为97.91%。结论由新生儿窒息等导致应激性溃疡是新生儿消化道出血重要的因素,医生护士共同指导完成围产期保健以减少早产与窒息等现象,可降低新生儿消化道出血发生率。

Objective To analyze the cause of newborn alimentary tract hemorrhage and explore curative methods. Methods During Aug. ,2011 to Aug. ,2013 ,clinical data of 48 newborns with alimentary tract hemorrhage were retrospectively analyzed. Results The higher occurrence rate of alimentary tract hemorrhage in newborns was associated with low birth weight, neonatal asphyxia and premature delivery （ P 〈 0.05 ）. After expectant treatments in the 48 cases, there were 30 cases of excellence, 17 cases effective and one case invalid. The total effective rate was 97.91%. Conclusion Stress ulcer caused by diseases such as neonatal asphyxia is the important cause to newborn alimentary tract hemorrhage. Perinatal care involving both doctor and nurse could reduce symptoms of neonatal asphyxia and lower the occurrence rate.