《急診每日一題》小兒壞死性小腸結(jié)腸炎2021年2月
Question?問(wèn)題:
Necrotizing enterocolitis is the most common acquired GI emergency in the newborn infant. 90% of cases occur in patients with what history, which should raise concern for the diagnosis in infants presenting with abdominal symptoms and signs??
壞死性小腸結(jié)腸炎(NEC)新生兒最常見的獲得性胃腸道急診。90%病例出現(xiàn)在具有什么病史的患兒中,對(duì)已腹部癥狀和體征就診并具有此病史嬰兒要懷疑NEC?
?Answer?答案:
90% of NEC cases occur in preterm infants. The classic presentation starts with a change in feeding tolerance and progresses to other abdominal symptoms/signs (e.g. distention, vomiting, hematochezia, and absent bowel sounds).?
90%NEC病例發(fā)生在早產(chǎn)兒中。典型臨床表現(xiàn)從喂養(yǎng)習(xí)慣改變,發(fā)展到其它腹部癥狀/體征(如膨脹,嘔吐,便血,和腸鳴音消失)
參考文獻(xiàn):
Cureus.2021;13:e12604
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