新生儿坏死性小肠结肠炎早期诊断及手术选择

Early Stage Diagnosis and Operative Selection in Necrotizing Enterocolitis

目的 :探讨新生儿坏死性小肠结肠炎的早期诊断及手术时机选择。方法 :对收治的 12 8例患儿进行回顾性研究 ,分析临床表现 ,X线征象与病情发展之间的关系 ,结合文献进行探讨 ,找到早期诊断指标及选择手术时机。结果 :12 8例患儿保守治疗 70例 ,存活 49例 ,手术 5 8例 ,存活 41例。结论

Objective To review the experience of the early stage diagnosis and the timing of surgery in necrotizing enterocolitis.Methods 128 patients suffered from necrotizing enterocolitis were treated in five years,with a studying of the literatures,to evaluated the relationship among clinical findings,x-ray and the developmend of the illness,looking for the index of early stage diagnosis and selecting proper surgical opportunity.Results 70 cases were treated with non-operative therapy, 49 cases were cured,the other 58 cases received operations, 41 cases got recovery.Conclusion early stage diagnosis,early stage treatment and proper surgery are very important for better outcome.