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基层医疗卫生机构常见新生儿疾病诊疗专家共识:新生儿呕吐(2025年)

[Expert consensus on the diagnosis and treatment of common neonatal diseases in primary healthcare institutions: neonatal vomiting (2025)].

出版信息

Zhongguo Dang Dai Er Ke Za Zhi. 2025 Jul 15;27(7):770-777. doi: 10.7499/j.issn.1008-8830.2412163.

DOI:10.7499/j.issn.1008-8830.2412163
PMID:40695507
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12291562/
Abstract

To assist primary healthcare personnel in promptly and accurately identifying neonatal vomiting, providing precise diagnosis, standardized treatment, or timely referral for rescue, thereby reducing the occurrence of complications and ensuring the health of infants, the Subspecialty Group of Neonatology, Society of Pediatrics, Chinese Medical Association has organized experts to formulate this consensus based on the latest clinical research advancements and thorough discussions. This consensus addresses eight common clinical issues faced by primary healthcare personnel and forms 21 recommendations.

摘要

为协助基层医疗卫生人员及时、准确识别新生儿呕吐,进行精准诊断、规范治疗或及时转诊救治,从而减少并发症发生,保障患儿健康,中华医学会儿科学分会新生儿学组组织专家,基于最新临床研究进展并经充分讨论,制定本共识。本共识针对基层医疗卫生人员面临的八个常见临床问题,形成21条推荐意见。

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本文引用的文献

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[Expert consensus on diagnosis and management of neonatal cow's milk protein allergy (2023)].[新生儿牛奶蛋白过敏诊断与管理专家共识(2023年)]
Zhonghua Er Ke Za Zhi. 2024 Jan 2;62(1):12-21. doi: 10.3760/cma.j.cn112140-20231007-00257.
2
Development of the Gastrointestinal Tract in Newborns as a Challenge for an Appropriate Nutrition: A Narrative Review.新生儿胃肠道发育对适宜营养的挑战:叙述性综述。
Nutrients. 2022 Mar 28;14(7):1405. doi: 10.3390/nu14071405.
3
Pharyngoesophageal motility reflex mechanisms in the human neonate: importance of integrative cross-systems physiology.人类新生儿的咽食管运动反射机制:综合交叉系统生理学的重要性。
Am J Physiol Gastrointest Liver Physiol. 2021 Aug 1;321(2):G139-G148. doi: 10.1152/ajpgi.00480.2020. Epub 2021 Jun 9.
4
[Acute Abdomen: Diagnostic Management].[急腹症:诊断与处理]
Dtsch Med Wochenschr. 2020 Oct;145(21):1544-1551. doi: 10.1055/a-1007-4264. Epub 2020 Oct 20.
5
Recommendations on the diagnosis and the use of antibiotics for early-onset sepsis in preterm infant: consensus of the expert panel from Hunan Province.湖南省早产儿早发型败血症诊断及抗生素应用专家共识
Zhongguo Dang Dai Er Ke Za Zhi. 2020 Jan;22(1):1-6. doi: 10.7499/j.issn.1008-8830.2020.01.001.
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[Consensus on diagnosis and management of allergic diseases in children].[儿童过敏性疾病诊断与管理的共识]
Zhonghua Er Ke Za Zhi. 2019 Mar 2;57(3):164-171. doi: 10.3760/cma.j.issn.0578-1310.2019.03.002.
7
Diagnosis and Management of Gastroesophageal Reflux in Preterm Infants.早产儿胃食管反流的诊断与管理。
Pediatrics. 2018 Jul;142(1). doi: 10.1542/peds.2018-1061. Epub 2018 Jun 18.
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Annular pancreas in China: 9 years' experience from a single center.中国的环状胰腺:来自单一中心的9年经验。
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Vet Clin North Am Food Anim Pract. 2018 Mar;34(1):19-33. doi: 10.1016/j.cvfa.2017.10.001. Epub 2017 Dec 9.
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Evidence-based management of neonatal vomiting in the emergency department.
Pediatr Emerg Med Pract. 2014 Nov;11(11):1-20; quiz 20.