新生儿坏死性小肠结肠炎:从Bell分期解读到手术指征的把握  

Necrotizing enterocolitis:From an interpretation of Bell staging to an identification of indications for acute surgery

作　　者：张志波[1] Zhang Zhibo(Department of Pediatric Surgery,Affiated Shengjing Hospital,China Medical University,Shenyang 110003,China)

机构地区：[1]中国医科大学附属盛京医院小儿外科,沈阳110003

出　　处：《临床小儿外科杂志》2022年第4期306-309,共4页Journal of Clinical Pediatric Surgery

基　　金：辽宁省“兴辽英才计划”(XLYC1908008)。

摘　　要：近几十年来,坏死性小肠结肠炎(necrotizing enterocolitis,NEC)逐渐成为新生儿外科最常见的急腹症。新生儿坏死性小肠结肠炎早期缺乏特异性诊断指标,常很难在患病早期被识别和确诊。如何根据该病的特殊发展进程制定对应的治疗策略,是值得临床关注的问题。Bell分期根据患儿临床指标及腹部X线平片对NEC的进展程度进行分期,并制定相应治疗策略。本文对NEC Bell分期进行解读,并探讨临床医生应如何将临床经验与Bell分期结合起来判断病情、确定治疗方案和把握NEC的手术指征。Over the past decades,necrotizing enterocolitis(NEC)has gradually become the most common acute abdomen in neonatal surgery.Due to a lack of specific diagnostic indicators,it is difficult to accurately diagnose and identify NEC in an early stage.Formulating the corresponding therapeutic strategies according to the degree of disease development has been a clinical challenge.Bell s staging method grades NEC according to its progression and severity as judged by clinical manifestations and abdominal radiographic films.This review discussed how to combine clinical manifestations with Bell staging to judge the progression of NEC,formulate therapeutic protocols and grasp indications of NEC.

关 键 词：小肠结肠炎 坏死性/诊断 小肠结肠炎 坏死性/外科学 婴儿 新生 

分 类 号：R722.1[医药卫生—儿科]