摘要
42例新生儿坏死性小肠结肠炎(NEC)根据最后转归分为高危组和低危组。两组间就32种因素进行比较,旨在探讨本病高危因素,提供选择治疗方法和判断预后的依据。研究结果表明,8种因素具有显著性差异,其中6种可用于NEC评分:①生后开始人工喂养的时间;②新生儿窒息或窘迫;③核左移程度;④CO_2结合力;⑤腹部压痛;⑥门静脉积气征。
In order to evaluate thefactors in high-risk neonatal necrotizingenterocolitis (NEC) and predict the prog-nosis of NEC, a restropective analysis of32 factors was made in 42 neonates withNEC. The cases were divided into a low-risk(survival) group and a high-risk(death) group. Of 32 factors compared be-tween these two group, eight were foundto be of significance in evaluating the se-verity of NEC, and six of them were usedin the developmeat of a NEC scores(1)number of days before beginning of arti-ficial feeding;(2)neonatal asphyxia ordistress;(3)immature form in WBC differ-ential:(4)CO_2 combining power;(5) abdo-menal tenderness;(6) presence of portalvein air(PVA). All laboratory values andphysical and radiographic signs were col-lected during initial presentation of NEC.Neonates with a score of s or more are atan increased risk of developing severeNEC with a 83% mortality.
出处
《华西医科大学学报》
CSCD
1991年第3期311-313,共3页
Journal of West China University of Medical Sciences
关键词
新生儿
坏死性
小肠结肠炎
Neonate
Necrotizing enterocolitis
High-risk factor
