Department of Pediatrics, College of Medicine, University of Florida, Gainesville, FL 32610, USA.
J Perinatol. 2010 Nov;30(11):701-8. doi: 10.1038/jp.2010.9. Epub 2010 Mar 25.
Necrotizing enterocolitis is the most common and fulminant gastrointestinal disease affecting neonates. Its pathogenesis is heterogeneous and not clearly understood. Early detection could prevent some of the devastating consequences of this disease, but currently there is no noninvasive method of reliable early-stage detection. Here, we review various noninvasive monitoring technologies that have already been employed or show promise for early detection. Each method may have an important role after its technical difficulties are resolved. These are discussed in detail as they relate to various aspects of the putative pathophysiology of this devastating disease.
坏死性小肠结肠炎是影响新生儿最常见和最暴发性的胃肠道疾病。其发病机制具有异质性,目前尚不清楚。早期发现可以预防这种疾病的一些破坏性后果,但目前还没有可靠的早期无创检测方法。在这里,我们回顾了已经应用或有希望用于早期检测的各种非侵入性监测技术。每种方法在解决了其技术难题后,都可能具有重要作用。本文详细讨论了这些方法,因为它们与这种破坏性疾病的假定病理生理学的各个方面有关。