新生儿室上性心动过速和坏死性小肠结肠炎：病例报告及文献复习。
Neonatal supraventricular tachycardia and necrotizing enterocolitis: case report and literature review.
机构信息
Neonatal Intensive Care Unit, Department of Surgical Sciences, University of Cagliari, Cagliari, Italy.
出版信息
Ital J Pediatr. 2020 Aug 26;46(1):117. doi: 10.1186/s13052-020-00876-7.
BACKGROUND
Necrotizing enterocolitis (NEC) and supraventricular tachycardia (SVT) are serious emergencies in the neonatal period. Although these conditions are recognized as distinct pathologies, literature reports suggest that recurrent episodes of SVT may predispose patients to NEC via disturbances in mesenteric blood flow and a decrease in tissue perfusion.
CASE PRESENTATION
We present a case of a preterm infant affected by recurrent episodes of SVT who developed the initial stage of NEC on the 17th day of life. Moreover, a detailed description of all the cases described in the literature is reported.
MATERIALS AND METHODS
An integrative review of the updated literature in the Medline database and PubMed and scientific books and articles was conducted. The research from October 2019 to December 2019 was searched for with MeSH and free terms (necrotizing enterocolitis, supraventricular tachycardia) and was linked by Boolean operators.
CONCLUSIONS
SVT can be considered a risk factor for the development of NEC. Therefore, clinicians should have a high level of suspicion for NEC in infants affected by SVT. This article is the first structured literature review analysing the association between SVT and NEC.
背景
坏死性小肠结肠炎（NEC）和室上性心动过速（SVT）是新生儿期的严重急症。尽管这些情况被认为是不同的病理，但文献报道表明，反复发作的 SVT 可能通过肠系膜血流紊乱和组织灌注减少使患者易患 NEC。
病例介绍
我们报告了一例患有反复发作性 SVT 的早产儿，他在出生后第 17 天出现 NEC 的早期阶段。此外，还详细描述了文献中描述的所有病例。
材料和方法
对 Medline 数据库和 PubMed 以及科学书籍和文章中的最新文献进行了综合回顾。使用 MeSH 和自由词（坏死性小肠结肠炎，室上性心动过速）进行了 2019 年 10 月至 2019 年 12 月的研究检索，并通过布尔运算符进行了链接。
结论
SVT 可被视为 NEC 发生的危险因素。因此，患有 SVT 的婴儿发生 NEC 时，临床医生应高度怀疑。本文是首次对 SVT 和 NEC 之间的相关性进行的结构化文献综述。
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