On neonatal necrotizing enteritis and acute intestinal perforation in 1 case diagnosis and treatment of successful rescue.docVIP

 PAGE \* MERGEFORMAT 7 On neonatal necrotizing enteritis and acute intestinal perforation in 1 case diagnosis and treatment of successful rescue [Keywords:] acute necrotizing enteritis neonatal intestinal perforation rescue A medical record Children, 11 days after birth, due to “lack of appetite 1 day” on May 23, 2009 admission. Department of cesarean section 41 weeks pregnant, healthy body during pregnancy, birth weight 4100g, score not available. Born meconium. Search Body: T 36.5 ℃, P 120 times / min, R 30 times / min, the quality of 4000g, Shen Qing, gas levels, poor response, skin yellow (+++), skull flat, pale yellow. neck soft, lungs coarse breath sounds, and rales are not heard. rhythm Qi, heart sounds strong. abdomen Long, soft, non-gastrointestinal-type, waist 40cm, liver ribs 1.5cm, soft and sharp edges, spleen not palpable, bowel sounds 4 6 times / min, normal limb muscle tone. neurological examination was negative. blood: WBC 51.4 × 109 / L, RBC 5.21 × 1012 / L, HCG 173g / L, PLT 331 × 109 / L, NE 84%, LY 14 %, CRP 45mg / L; stool routine: yellow, fat globules (+), OB weakly positive; calcitonin 0.5 ~ 2ng / L; biochemical DBIL 26μmol / L, TBIL 313μmol / L; ALT 13U / L, GGT 306U / L, TP 60g / L, ALB 42g / L, BUN 5.0mmol / L, CR 42mmol / L, CA 2.06mmol / L, K 5.4mmol / L, Cl 100mmol / L, PA 142mg / L, TF 1.56g / L , hsCRP 13.69mg / L; cerebrospinal fluid: negative. Hepatitis B, HCV-Ab, HIV antibody, syphilis antibody: negative. CMV positive, rubella virus IgG positive. stool bacterial culture: No Shigella, Salmonella-free, non-pathogenic E. coli growth. Bilateral Blood culture: no bacterial growth (3 days), chest and abdomen films: neonatal pneumonia, intestinal morphology due to rules of flatulence. NEC performance. admission diagnosis: (1) acute neonatal necrotizing enteritis; (2) neonatal sepsis, neonatal jaundice. admission and improve the relevant inspection, to be the heart, lung, SpO2 monitoring, home far infrared units, fasting, gast