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新生儿坏死性小肠结肠炎手术指征的临床思考

李天宇 张志波

中国实用儿科杂志2024,Vol.39Issue(5):350-355,6.
中国实用儿科杂志2024,Vol.39Issue(5):350-355,6.DOI:10.19538/j.ek2024050608

新生儿坏死性小肠结肠炎手术指征的临床思考

Clinical reflection on the surgical indications of NEC

李天宇 1张志波1

作者信息

  • 1. 国家区域儿童医学中心(东北)中国医科大学附属盛京医院儿外科,辽宁 沈阳 110003
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摘要

Abstract

Necrotizing enterocolitis(NEC)is an inflammatory necrotizing disease of the intestinal tract involving the ileum and colon,which mainly occurs in low birth weight preterm infants.NEC often progresses rapidly and remains one of the most common diseases that seriously threaten the lives of preterm babies.Generally,NEC is first treated medically and conservatively,including intestinal rest application of antibiotics,and management of complications,etc.However,some cases still progress rapidly despite the most aggressive medical treatment and eventually need to be operated on.The ideal surgical opportunity,indications,and methods are still inconclusive,which will be further discussed in this paper on the basis of our clinical experience,with the putpose of improving the survival of NEC infants.

关键词

坏死性小肠结肠炎/新生儿/手术指征/手术方式

Key words

necrotizing enterocolitis/neonate/surgical indications/surgical methods

分类

医药卫生

引用本文复制引用

李天宇,张志波..新生儿坏死性小肠结肠炎手术指征的临床思考[J].中国实用儿科杂志,2024,39(5):350-355,6.

中国实用儿科杂志

OA北大核心CSTPCD

1005-2224

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