新生儿急性应激性胃粘膜病变21例报告  

ACUTE STRESS MUCOSAL TENSION OF THE NEWBORN THE REPORT OF 21 CASES

作　　者：林希平 覃革荣 赵景松 

机构地区：[1]广西柳州市第一人民医院儿科,545001 [2]广西柳州市第一人民医院内镜室,545001

出　　处：《新生儿科杂志》1998年第2期58-59,共2页The Journal of Neonatology

摘　　要：本组对宫内窘迫、产时窒息或严重感染而处于应激状态的22例新生儿，在发生顽固呕吐或疑及上消化道出血时，进行纤维胃镜检查。结果发现急性应激性胃粘膜病（ASML）患者21例。其中表现为早期（充血水肿型）3例，早中期（出血糜烂型）14例，后期（急性溃疡型）4例。其发生机制尚不十分清楚，但与应激时血液重新分布，消化道粘膜缺氧缺血性损伤及坏死有关。应用纤维胃镜检查是安全、准确的方法。Using fibergastroscope, we examined 22 cases of newborn in stress state with uterine embarrassment, birth asphyxia or serious infection. The results showed that the acute stress mucosal tension patients were 21 Cases, including congestive edematous type 3 cases, hemorrhagic erosive type 14 cases, acute ulcerative type 4 cases. The disease's occuring reason wasn't very clear, but the blood redistribution in stress state, the hypoxic ischmic damage and necrosis of digestive tract mycoderma maybe played an important role. These results indicated that using fibergastroscope in newborn was a safety and accuracy method

关 键 词：胃粘膜病变 应激性 纤维胃镜 新生儿 

分 类 号：R722.1[医药卫生—儿科]