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Clinical analysis of 38 cases of neonatal gastroesophageal reflux
[Keywords:] neonatal gastroesophageal reflux
GERD (gastroesophageal reflux, GER) is due to systemic or local causes lower esophageal spasm is a common clinical manifestations, and can lead to serious complications, easy to occur in the neonatal period, especially in premature children. Now admitted to our hospital in 2003 to 38 cases of neonatal cases of gastroesophageal reflux are as follows.
1 Materials and Methods
1.1 General information on 38 cases of children as our hospital from January 2005 to January 2008 hospitalized children, including 20 males and 18 females, of which 23 cases of premature children, the average gestational age (34.2 + -1.4) weeks, The average birth weight (1 750 + -400) g, full-term children in 15 cases, the average gestational age (38.4 + -1.2) weeks, mean birth weight (3 000 + -410) g. galactorrhea and vomiting Time: 3 after birth h ~ 6 d, 26 , 7 d ~ 20 d, 12 cases.
1.2 The performance of clinical manifestations of galactorrhea in 7 cases. Vomiting in 31 cases, including vomiting seen 7 , 25 cases of sexual jet vomiting in 8 cases, more than 3 times a day six cases of vomiting, vomiting with coffee-like material in 3 cases. Weight does not increase, and 10 cases of malnutrition, pneumonia in 13 cases, 5 cases of vomiting and apnea in two forms co-exist.
1.3 The auxiliary examination 25 patients with abnormal blood, stool were normal, stool occult blood positive in 1 case, no anemia, no case of liver function before and after treatment transaminase abnormalities .38 cases of children made in 30 cases of esophageal barium examination. According to stephen [1] so that in 5 minutes, 3 times more than you can think of reflux GER, and to be in five grade classification: level for the bottom of reflux to the esophagus, grade for the reflux to the carina plane above, the following neck esophagus, level for esophageal reflux to the
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