《急诊每日一题》小儿坏死性小肠结肠炎2021年2月
Question 问题:
Necrotizing enterocolitis is the most common acquired GI emergency in the newborn infant. 90% of cases occur in patients with what history, which should raise concern for the diagnosis in infants presenting with abdominal symptoms and signs?
坏死性小肠结肠炎(NEC)新生儿最常见的获得性胃肠道急诊。90%病例出现在具有什么病史的患儿中,对已腹部症状和体征就诊并具有此病史婴儿要怀疑NEC?
Answer 答案:
90% of NEC cases occur in preterm infants. The classic presentation starts with a change in feeding tolerance and progresses to other abdominal symptoms/signs (e.g. distention, vomiting, hematochezia, and absent bowel sounds).
90%NEC病例发生在早产儿中。典型临床表现从喂养习惯改变,发展到其它腹部症状/体征(如膨胀,呕吐,便血,和肠鸣音消失)
参考文献:
Cureus.2021;13:e12604