全肠道坏死性小肠结肠炎的诊治现状与困境

Status quo and dilemma in the diagnosis and treatment of necrotizing enterocolitis totalis

全肠道坏死性小肠结肠炎(necrotizing enterocolitis totalis,NEC-T)是坏死性小肠结肠炎(NEC)中最严重的类型,病情发展迅速,预后不良风险较高,且目前缺少普遍认可的诊疗策略。该文就NEC-T的危险因素、治疗决策及预后、治疗过程中可能面临的伦理问题等进行概述,并阐述临床诊治过程中的难题与困境。

Necrotizing enterocolitis totalis(NEC-T)is one of the most severe forms of necrotizing enterocolitis,with rapid progression,a high risk of poor prognosis,and a lack of universally accepted treatment strategies.This article summarized the risk factors,treatment decision,prognosis and possible ethical issues in the management of NEC-T,and presented some difficulties and dilemma in the course of clinical diagnosis and treatment.