Gastrointestinal dysfunction in critically ill neonates Analysis of 98 Patients.docVIP

 PAGE \* MERGEFORMAT 5 Gastrointestinal dysfunction in critically ill neonates Analysis of 98 Patients Study: Dong Ling-Yan Hongxia Wang Shunlan Gastrointestinal dysfunction or infection often occurs in critically ill patients due to infection factors in the process, timely detection and treatment of gastrointestinal dysfunction in critically ill newborns is the key to the rescue process. In this paper, admitted to our hospital in 2007-2009 Neonatology The 98 cases of gastrointestinal dysfunction in critically ill neonates were clinical analysis to understand the neonatal common cause of gastrointestinal dysfunction, looking for ways to control. 1 Clinical data 1.1 General Information Selected cases, 36 cases of full-term children, premature children 60 cases, 2 cases of past births, gestational age 29-43 weeks, birth weight 1200-4200g, age 5min-7d. All patients underwent routine blood, plasma prothrombin time, activated partial thromboplastin time, serum electrolytes, liver and kidney functions, chest and abdomen X ray, and stool occult blood test checks. asphyxiated children with a history of routine head CT examination .98 cases were diagnosed as stress ulcer 47 cases, accounting for 48.0%, diagnosed 46 cases of gastrointestinal dysfunction, accounting for 47.0%, a diagnosis of NEC (necrotizing enterocolitis in 5 cases (all preterm children, accounting for 5.1%. gastrointestinal dysfunction reasons: There are 78 cases of perinatal factors (79.6%, including the premature children, fetal distress and birth asphyxia, HIE head CT confirmed 50 cases, 32 cases of intracranial hemorrhage, asphyxia and shock in all 23 cases, followed by severe infection , sepsis in 18 cases (18.4%, purulent meningitis in 2 cases (2%. 1.2 Diagnosis Cases were diagnosed as severe according to the standard newborn, and exclusion of gastrointestinal tract infections, intestinal malformations and other diseases. Gastrointestinal dysfunction in critically ill n