新生儿便血临床特征分析(附292例病例报道)

doi:10.3969/j.issn.1671-7171.2018.08.009

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Abstract 【Objective】 To explore the clinical features and prognosis of hospitalized neonates with hematochezia, and to provide ideas for early diagnosis and treatment.【Methods】 From October 2014 to June 2017, 292 cases of neonatal hematochezia were selected and analyzed, including sex, age, body weight, symptoms, signs, auxiliary examinations, treatment methods and prognosis, etc. The characteristics of hematochezia between preterm infants and full-term infants were compared.【Results】 Among the 292 neonates with hematochezia, there were 46 cases of bright red blood stool, 212 cases of dark red blood stool, 34 cases of tar stool, 98 cases of anemia, 8 cases of hemorrhagic shock, 105 cases of vomiting (36.0%) and 77 cases of abdominal distension (26.4%). 228 cases of term infants, the main diseases are milk protein allergy (CMPA), infectious enteritis and neonatal necrotizing enterocolitis (NEC). There were 64 premature infants. The main diseases were NEC-CMPA and stress ulcer. The mean onset age of full-term infants was (10.16 ±8.70) days, and that of premature infants was (8.93 ±8.18) days. There was no significant difference between the two groups (t=1.019,P=0.309). 242 cases were treated conservatively, 50 cases were operated, 262 cases were cured (89.7%), 20 cases were improved (6.8%), 10 cases died (3.4%). There was no significant difference in mortality between full-term infants and premature infants (χ²=0.290). The main causes of death were delayed operation and severe infection leading to most necrosis of the small intestine. The main diseases were intestinal malrotation and NEC.【Conclusion】 Hematochezia is more common in male infants than in full-term infants, and CMPA, NEC and infectious enteritis are common diseases. For those complicated with abdominal distension and vomiting, surgical diseases should be observed, and timely diagnosis and correct treatment could improve the cure rate.

Key words： Hemafecia Gastrointestinal Hemorrhage Infant Newborn

Received: 11 May 2018

PACS:

R722.152

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http://www.jcr.net.cn/EN/10.3969/j.issn.1671-7171.2018.08.009 OR http://www.jcr.net.cn/EN/Y2018/V35/I8/1483

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