摘要
本文报道50例新生儿胃食管返流,以呕吐起病47例,呕吐出现时间≤7天40例,出现咳嗽、呛咳,气急3例。体重不增营养不良21例,肺炎15例,呼吸暂停1例。提出新生儿期凡有不能解释的呕吐,呼吸暂停,反复发作的肺炎,营养不良生长迟缓均提示本病可能。食管钡餐造影是目前国内诊断本症的主要手段。本症内科治疗大多有效。
50 cases of gastroesophageal reflux (GER) in neonates were reported. 47 cases had vomiting as onset of the disease, among them 40 cases appeared in the first week of life. 3 cases had cough and/or dyspnea initially. Malnutrition, pneumonia and apnea were the mojor complications and were seen in 21, 15 and 1 cases respectively. It is supposed that the posibility of GER should be considered when inexplicable vomiting, apneic spells, repeated aspiration pneumonia, malnutrition and growth retardation occured in neonates. The barium meal roentgenological examination is helpful to the dignosis. Medical treatment is effective in most of the cases.
出处
《新生儿科杂志》
1995年第4期156-157,共2页
The Journal of Neonatology