危重症小儿急性胃肠功能障碍临床分析

Clinical analysis of acute gastrointestinal dysfunction in critically ill children

目的探讨危重症小儿急性胃肠功能障碍的发病机制及临床治疗方法。方法对2013年2月-2014年2月期间确诊危重症急性胃肠功能障碍40例患儿临床资料进行回顾性分析,对其治疗效果进行总结。结果轻度急性胃肠功能障碍22例,治疗有效率为100%;中度急性胃肠功能障碍16例,治疗有效率为90%;重度急性胃肠功能障碍2例,治疗有效率为50%。三组治疗效果差异具有统计学意义（P〈0.05）。结论危重症小儿出现急性胃肠功能障碍是胃肠衰竭的早期临床表现,故早期诊断采取有效治疗可最大程度减少患儿死亡率。

Objective To explore the pathogenesis of acute gastrointestinal dysfunction in critically ill children and clinical treatment,and make an objective evaluation. Methods 40 patients in our hospital from 2013 February to 2014 February,clinical data of acute gastrointestinal dysfunction diagnosed during critical illness were analyzed retrospectively,and the therapeutic effects were summarized. Results 40 patients with mild acute gastrointestinal dysfunction in 22 cases,the effective rate of treatment was 100%; 16 patients with moderate acute gastrointestinal dysfunction,the effective rate of the treatment of 90%severe acute gastrointestinal dysfunction in 2 cases,the effective rate of the treatment differences for the 50%treatment,which has significant meaning for P 〈 0.05. Conclusion Critically ill children acute gastrointestinal dysfunction is the early clinical manifestations of gastrointestinal failure,so early diagnosis and effective treatment can reduce mortality rate of children,should be used widely in clinical critical disease treatment work.