Solaz-García A J, Segovia-Navarro L, Rodríguez de Dios-Benlloch J L, Benavent-Taengua L, Castilla-Rodríguez D Y, Company-Morenza M A
Unidad de Cuidados Intensivos Neonatales, Servicio de Neonatología, Hospital Universitario y Politécnico La Fe, Valencia, España.
Unidad de Cuidados Intensivos Neonatales, Servicio de Neonatología, Hospital Universitario y Politécnico La Fe, Valencia, España.
Enferm Intensiva (Engl Ed). 2019 Apr-Jun;30(2):72-77. doi: 10.1016/j.enfi.2018.06.002. Epub 2018 Sep 20.
Delayed meconium expulsion is a cause of bowel obstruction in the extremely premature newborn (<28 WGE) weighing less than 1500g at birth.
To evaluate the efficacy of conservative treatment in the prevention of meconium obstruction in very-low-birt- weight preterm infants.
Descriptive and retrospective study performed at the Neonatal Intensive Care Unit of a tertiary level hospital. All very-low-birth-weight preterm infants who were born during the study period, from August 2016 to January 2017, and who had meconium obstruction were included.
A sample of 42 newborn infants was obtained. Regarding the expulsion of meconium, 57.1% of the sample spontaneously ejected meconium, while 42.9% received different treatments. Of these, 72.2% were treated with saline enemas, 16% with acetylcysteine enemas, 16% with Gastrografin and none required surgical treatment.
Conservative treatment seems to be an effective therapeutic measure for the prevention of meconium obstruction in very-low-birth-weight preterm infants since it achieved the expulsion of meconium without having to apply surgical treatment.
胎粪排出延迟是出生时体重小于1500克的极早产儿（<28周孕龄）肠梗阻的一个原因。
评估保守治疗在预防极低出生体重早产儿胎粪梗阻中的疗效。
在一家三级医院的新生儿重症监护病房进行描述性和回顾性研究。纳入2016年8月至2017年1月研究期间出生且患有胎粪梗阻的所有极低出生体重早产儿。
获得了42例新生儿样本。关于胎粪排出情况，57.1%的样本自行排出胎粪，而42.9%接受了不同治疗。其中，72.2%接受盐水灌肠治疗，16%接受乙酰半胱氨酸灌肠治疗，16%接受泛影葡胺治疗，无一例需要手术治疗。
保守治疗似乎是预防极低出生体重早产儿胎粪梗阻有效治疗措施，因为它无需手术治疗即可实现胎粪排出。
