新生儿消化道出血的临床分析  

Clinical Analysis of Neonatal Gastrointestinal Bleeding

作　　者：程汝挽 

机构地区：[1]广东省阳江市中医医院,广东阳阳529500

出　　处：《中国医药指南》2011年第25期29-30,共2页Guide of China Medicine

摘　　要：目的探讨新生儿消化道出血的临床相关因素和治疗。方法对132例消化道出血患儿的临床资料进行分析,给予维生素K1+凝血酶+奥美拉唑治疗,观察疗效。结果窒息儿、早产儿和低体质量儿的消化道出血发生率明显高于非窒息儿、足月儿和正常体质量儿(P<0.05),消化道出血多发于出生后3d内,主要病因有新生儿缺氧缺血性脑病、肺透明膜病和重症肺炎,治疗的总有效率为97.7%。结论应激性溃疡是新生儿消化道出血的最常见原因,减少窒息,降低早产儿、低体质量儿的出生率,做好围生期保健,可减少发病率,联合使用奥美拉唑的治疗效果好。Objective To explore the related clinical factors and treatment of neonatal gastrointestinal hemorrhage.Methods Analyze the clinical data of 132 neonates with gastrointestinal hemorrhage,use Vitamin K1,thrombin and omeprazole in treatment,and then observe the effect.Results The incidence rate of gastrointestinal hemorrhage in the infants with the history of asphyxia,premature infants,low weight infants were significantly higher than that in the infants without the history of asphyxia,full-term infants and normal weight infants（P〈0.05）.The most of neonatal gastrointestinal hemorrhage occurred within the first three days after birth.The main causes of it included neonatal hypoxic ischemic encephalopathy,hyaline membrane disease and severe pneumonia.The total effective rate of treatment was 97.7%.Conclusion Stress ulcer is a common cause of neonatal gastrointestinal hemorrhage.Reducing asphyxia and birth rates of the premature infants and low weight infants,and good perinatal health care can reduce the incidence of neonatal gastrointestinal hemorrhage.Omeprazole combined is effective in the treatment.

关 键 词：新生儿 消化道出血 临床分析 

分 类 号：R722.15[医药卫生—儿科]