摘要
目的:探讨新生儿坏死性小肠结肠炎(NEC)的X线诊断价值,提高对其早期诊断能力。方法:回顾性总结了6年来医院收治确诊有完整临床资料NEC 38例病例,对其X线表现进行归纳分析;其中14例经手术病理证实。结果:NEC的X线表现为:Ⅰ期:肠动力性改变、肠淤张;肠间隙增厚≤2mm(28例);Ⅱ期:①肠间隙增厚>2mm(15例);②肠壁积气(8例);③门静脉积气(3例);Ⅲ期:①明确腹腔渗液(9例);②气腹(10例)。结论:X线检查对NEC的诊断及明确病变进展具有重要价值;结合临床能做到早期诊断,从而早期干预降低NEC病死率。
Objective：To investigate the X-ray manifestations of Neonatal Necrotizing Enterocolitis （NEC） and improve the ability to diagnose it in the early stage. Methods：38 NEC cases with X-rays information of those diagnosed by our hospital in the past 6 years, were reviewed and analyzed. There were 14 cases with the surgical operation confirmed.Results：the X-ray manifestations of Neonatal Necrotizing Enterocolitis （NEC）：28 cases occurred intestinal reflex or enteroparalysis;15 cases occurred intestinal reflex or enteroparalysis and intestinal obstruction; 8 cases performed pneumatosis intestinalis, 3 cases performed portal venous, 9 cases performed ascites, and 10 cases pneumoperitoneum.Conclusion：X-ray is of significant value to the diagnosis and confirmation of case development of NEC. Early diagnosis and early intervention can reduce the mortality rate of NEC.
出处
《安徽卫生职业技术学院学报》
2014年第3期16-17,共2页
Journal of Anhui Health Vocational & Technical College
