全肠道坏死性小肠结肠炎的诊治现状与困境  

Status quo and dilemma in the diagnosis and treatment of necrotizing enterocolitis totalis

作　　者：曹旭清 沈淳[1] CAO Xu-qing;SHEN Chun(Department of Neonatal Surgery,Children's Hospital of Fudan University,National Children's Medical Center,Shanghai 201102,China)

机构地区：[1]国家儿童医学中心,复旦大学附属儿科医院外科新生儿外科,上海201102

出　　处：《中国实用儿科杂志》2024年第5期338-341,共4页Chinese Journal of Practical Pediatrics

基　　金：国家自然科学基金面上项目(81873849);上海市医学创新研究专项项目(21Y11907300)。

摘　　要：全肠道坏死性小肠结肠炎(necrotizing enterocolitis totalis,NEC-T)是坏死性小肠结肠炎(NEC)中最严重的类型,病情发展迅速,预后不良风险较高,且目前缺少普遍认可的诊疗策略。该文就NEC-T的危险因素、治疗决策及预后、治疗过程中可能面临的伦理问题等进行概述,并阐述临床诊治过程中的难题与困境。Necrotizing enterocolitis totalis(NEC-T)is one of the most severe forms of necrotizing enterocolitis,with rapid progression,a high risk of poor prognosis,and a lack of universally accepted treatment strategies.This article summarized the risk factors,treatment decision,prognosis and possible ethical issues in the management of NEC-T,and presented some difficulties and dilemma in the course of clinical diagnosis and treatment.

关 键 词：坏死性小肠结肠炎 全肠道坏死性 新生儿 

分 类 号：R72[医药卫生—儿科]