新生儿肠闭锁术后早期肠内营养发生坏死性小肠结肠炎的
诊疗分析
吴晓霞;任红霞;詹江华
【期刊名称】《中华小儿外科杂志》 【年(卷),期】2024(040)004
【摘要】Objective To explore the clinical features and etiological factors of necrotizing enterocolitis(NEC)after enteral nutrition(EN)for neonates with congenital intestinal atresia.Methods The clinical data were analyzed retrospectively for 6 pediatric cases of NEC from December 2012 to January 2017.There were 3 boys and 3 girls.And the neonates were premature(n=3)and low-birth-weight(n=3).The primary types of intestinal
atresia
were
duodenal(n=1),jejunal(n=4)and
ileal(n=1).Concomitant congenital gastrointestinal diseases included intestinal malrotation(n=1)and meconium peritonitis(n=1).Postoperative trans-nasojejunal tube feeding EN(n=4)and oral feeding(n=2)were performed The average age of NEC onset was 16.67(11-24)days and the average duration of EN 6(2-11)days prior to NEC.Results Three cases were cured by conservative measures and 2 underwent laparotomy.One case of focal small intestinal necrosis underwent intestinal anastomosis and recovered postoperatively.One case of whole intestinal necrosis gave up while another case was discharged automatically after a definite diagnosis of NEC.Conclusions The specific pathogenesis of NEC
新生儿肠闭锁术后早期肠内营养发生坏死性小肠结肠炎的诊疗分析
