Abstract：【Objective】To analyze the clinical characteristics of milk protein allergic proctocolitis (AP) in premature infants with bloody stools as the main symptom. 【Methods】A retrospective analysis was conducted on the clinical data of 6 premature infants who were diagnosed with AP and admitted to the neonatology department of our hospital from January 2023 to September 2023. The clinical characteristics of AP in premature infants were analyzed and summarized. 【Results】All 6 premature infants were initially considered to have necrotizing enterocolitis due to varied degrees of bloody stools appeared within the first 4 to 49 days of birth. Among them, 4 cases were accompanied by abdominal distension, 2 cases were accompanied by elevated eosinophil count, 3 cases had abnormal infection indicators, 1 case had intestinal wall gas accumulation on abdominal plain film, 1 case had portal vein gas accumulation, 2 cases had mild intestinal dilation, but both abdominal ultrasound and bowel sounds were normal. Six premature infants had a good prognosis after being fed with a deeply hydrolyzed formula. 【Conclusion】For premature infants with rectal bleeding, attention should be paid to AP, clinicians need to repeatedly assess and avoid misdiagnosis.
范礼英, 熊喜悦, 冯彬彬, 李素萍, 龚瑾, 汪倩, 潘千. 以血便为主要症状的早产儿牛奶蛋白过敏性直肠结肠炎6例临床分析[J]. 医学临床研究, 2024, 41(12): 1841-1843.
FAN Liying, XIONG Xiyue, FENG Binbin, et al. Clinical Analysis of 6 Cases of milk Protein Allergic Proctocolitis Induced by Milk Protein in Premature Infants with Blood Stool as the Main Symptom. JOURNAL OF CLINICAL RESEARCH, 2024, 41(12): 1841-1843.
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2024, Vol. 41 
