48例早产儿坏死性小肠结肠炎临床护理分析.pdfVIP

· 2624· 实用医技杂志 2008年7月第15卷第2O期 JPMT，july．2008，Vo1．15，No．20 48例早产儿坏死性小肠结肠炎临床护理分析 廖永生，马红梅 (达州市中心I-I-I-N院，四川 达州 635000) 【摘 要】目的：探讨早产儿坏死性小肠结肠炎(NEC)的危险因素，提高对早产儿NEC诊断治疗及护理的认识。 方法：回顾性分析本院1996年I1月至2006年l1月收治的48例早产儿NEC病例。结果：早产儿NEC临床表现不 典型，围产期窒息缺氧感染及不合理喂养为主要危险因素，合并症多，应早期发现，早期治疗，合理喂养，精心护理。结 论：加强孕期保健及实施新法接生，减少早产、窒息发生，正确喂养，早期诊断，早期治疗精心护理，可从根本上降低早 产儿NEC的发生率及痛死率。 【关键词]坏死性小肠结肠炎；早产儿；护理 【中图分类号】R574．62【文献标识码】A【文章编号】1671-so9s(2oos)2o-2624．o2 48 Examples Premature InfantNecrotic Enterocolitis Clinical Nursing Analysis LIAO Yong-sheng，MA Hong-Mei (The Central Hospital ofDazhou,Sichuan 635000,China) Abstract：O~ective Discusses premature infant necrotic enterocolitis fNEC)the dangerous factor，enhances under— standing which fleas to the premature infant NEC diagnosis and nurses．Methods Review analysis this courtyard from November．1 996 48 example premature infant NEC case of illness which admitted to November．2006．Results n prema。 ture infant NEC clinical manifestation is atypical，suffocates the oxygen deficit infection perinatal and feeds not reasonably ． for the primary dangerous factor，the complications are many，should the early time discover，the early treatment，feeds reason— ably,careful nursing．Conclusion The enhancement gestation period health care and implementation modem de,very meth- ods，reduce the premature delivery，suffocate the occurrence，feeds correctly,the early diagnosis，early treatm ent careful nuts— ing．may fundamentally reduce premature infant NEC the formation rate and the case fatality rate． Koy wol~：Necrotic enterocolitis；Premature infant；Nursing 新生儿坏死性小肠结肠炎是新生儿消化系统的严重疾 (29．2％)，腹膜炎4例(8．3％)，肠穿孑L 3例(6．3％)。 病，也是早产儿常见并发症，随着新生儿重症监护病房 2．2NEC合并症 本