回顾性分析新生儿便血的原因及治疗措施

Retrospective Analysis on Cause and Treatment Measures of Hematochezia in Newborns

目的:回顾性分析新生儿便血的原因及治疗措施。方法:选取2020年7月-2021年7月张掖市第二人民医院收治的40例便血新生儿作为研究对象。分析患儿便血的原因,制定治疗措施。结果:40例便血患儿中,10例因坏死性小肠结肠炎而便血,2例因应激性溃疡而便血,3例因缺乏维生素K1而便血,4例因细菌性肠炎而便血,7例因乳糖不耐受而便血,14例因牛奶蛋白过敏而便血。40例便血新生儿的检查情况:17例进行粪便常规检测后发现潜血阳性,说明患儿便中带血;8例出现黏液丝状血便;12例出现黏液脓性血便;3例出现果酱样血便。结论:导致新生儿便血的疾病较多,需要对患儿进行全面检查后才可确诊,临床需根据不同疾病进行针对性的治疗,以更好地促进患儿康复。

Objective:To retrospectively analyze the cause and treatment measures of hematochezia in newborns.Methods:Forty newborns of hematochezia who were treated in Zhangye Second People's Hospital from July 2020 to July 2021 were selected as the study subjects.The causes of hematochezia in these newborns were analyzed and treatment measures were formulated.Results:Among the 40 newborns with hematochezia,10 cases were caused by necrotizing enterocolitis,2 cases were caused by stress ulcer,3 cases were caused by vitamin K1 deficiency,4 cases were caused by bacterial enteritis,7 cases were caused by lactose intolerance,14 cases were caused by milk protein allergy.Examination of 40 newborns with hematochezia:17 cases were found to be positive for occult blood after routine stool test,indicating that the infants had blood in their stool;8 cases had mucus filamentous bloody stool;12 cases had mucopurulent bloody stool;3 cases had jam-like bloody stool.Conclusion:There are many diseases causing neonatal hematochezia,and it is necessary to conduct a comprehensive examination of the children before they can be diagnosed.Clinically,targeted treatment may be performed according to different diseases,so as to better promote the recovery of children.