Saini Jennie, Moore Aideen, Hodgson Kate
Hospital for Sick Children, Toronto, Canada.
Royal Women’s Hospital, Parkville, Australia.
BMJ Case Rep. 2017 Jul 16;2017:bcr-2017-219675. doi: 10.1136/bcr-2017-219675.
Supraventricular tachycardia (SVT) is the most common neonatal arrhythmia. Necrotising enterocolitis (NEC) is a disease with multifactorial aetiology, most common in preterm infants. There are three previous case reports in the literature of NEC following neonatal SVT. We present two cases of late preterm infants with NEC, characterised by pneumatosis on abdominal X-ray and ultrasound, following recurrent SVT without haemodynamic instability. The infants were successfully treated with antibiotic therapy and bowel rest.
室上性心动过速(SVT)是最常见的新生儿心律失常。坏死性小肠结肠炎(NEC)是一种病因多因素的疾病,在早产儿中最为常见。文献中之前有3例新生儿室上性心动过速后发生坏死性小肠结肠炎的病例报告。我们报告2例晚期早产儿发生坏死性小肠结肠炎,其特征为腹部X线和超声检查显示有肠壁积气,此前有反复室上性心动过速但无血流动力学不稳定。这2例婴儿经抗生素治疗和肠道休息后成功治愈。