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一项针对新生儿重症监护病房8年间发生的坏死性小肠结肠炎的病例对照研究。

A case control study of necrotizing enterocolitis occurring over 8 years in a neonatal intensive care unit.

作者信息

De Curtis M, Paone C, Vetrano G, Romano G, Paludetto R, Ciccimarra F

机构信息

Istituto di Medicina dell'Età Evolutiva, II Facoltà di Medicina & Chirurgia, Napoli, Italy.

出版信息

Eur J Pediatr. 1987 Jul;146(4):398-400. doi: 10.1007/BF00444947.

DOI:10.1007/BF00444947
PMID:3653137
Abstract

The perinatal histories of 27 newborn infants with NEC were compared to those of 54 infants of equivalent birth weight who did not have NEC during an 8-year study period to see if possible predisposing factors were independent of the confounding effect of birth weight. No differences were observed in gestational age, degree of intrauterine growth retardation, premature rupture of membranes, perinatal asphyxia, skin temperature at admission, haematocrit, presence or absence of respiratory distress syndrome, umbilical catheter placement, start and type of feeding or presence of positive blood cultures. Prematurity is the greatest risk factor predisposing to the development of NEC and the perinatal problems which precede the onset of NEC are common among all premature infants.

摘要

在一项为期8年的研究中,将27例患有坏死性小肠结肠炎(NEC)的新生儿的围产期病史与54例出生体重相当但未患NEC的婴儿的病史进行比较,以确定可能的诱发因素是否独立于出生体重的混杂效应。在胎龄、宫内生长迟缓程度、胎膜早破、围产期窒息、入院时皮肤温度、血细胞比容、是否存在呼吸窘迫综合征、脐导管放置、喂养开始时间和类型或血培养阳性方面均未观察到差异。早产是导致NEC发生的最大风险因素,NEC发作前的围产期问题在所有早产儿中都很常见。

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Epidemiologic study of necrotizing enterocolitis among low-birth-weight infants. Absence of identifiable risk factors.低体重儿坏死性小肠结肠炎的流行病学研究。未发现可识别的风险因素。
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