新生儿消化道出血临床分析  

Clinical Analysis of Neonate Gastrointestinal Hemorrhage 126 Cases

作　　者：况琦 

机构地区：[1]河南省开封市妇幼保健院儿科,开封市475002

出　　处：《医药论坛杂志》2004年第8期47-48,共2页Journal of Medical Forum

摘　　要：目的　探讨新生儿消化道出血的原因、治疗及预防。方法　对 1 2 6例新生儿消化道出血进行临床分析 ,总结出血原因及防治途径。结果　 1 2 6例新生儿消化道出血的原因 :新生儿出血症 2 0例 (1 5 9% ) ,新生儿坏死性小肠结肠炎 (NEC) 1 3例 (1 0 3% ) ,应激性溃疡 93例 (73 8% )。新生儿出血症均治愈 (1 0 0 % ) ,NEC治愈1 0例 (76 9% ) ,死亡 3例 (2 3 1 % ) ,应激性溃疡治愈 84例 (90 3% ) ,死亡 7例 (7 5 % ) ,自动出院 2例 (2 2 % )。结论　应激性溃疡是新生儿消化道出血的最常见原因。对全部活产婴儿出生后立即肌注维生素K1 ,可明显减少新生儿消化道出血的发生率。应用立止血止血速度快 ,安全有效 。Objective To investigate the causes、treatment and preventions of gastrointestinal hemorrhage in neonate.Methods The clinical data of 126 patients with gastrointestinal hemorrhage in neonate were analyzed.Results Among the 126 cases,20 cases (15.9%) were caused by hemorrhagic disease of the newborn,13 cases (10 3%) were due to necrotizing enterocolitis (NEC) and 93 cases (73 8%) were due to gastric stress ulcer. 100% of hemorrhagic disease of the newborn were cured,10 cases (76 9%) of NEC and 84 cases (90 3%) of gastric stress ulcer were cured,3 cases (23 1%) of NEC and 7 cases(7 5%) of gastric stress ulcer died,2 cases (2.2%) discharged automatically.Conclusion Gastric stress ulcer was the most main causes of gastrointestinal hemorrhage in neonate. The vitamin K 1 should be injected in newborns. That can decrease the ocurrence rate of gastrointestinal hemorrhage in neonate.The regular treatment added with peptilase is safe and efficient.

关 键 词：新生儿 消化道出血 原因 治疗 预防 

分 类 号：R725.732[医药卫生—儿科]