Lister J, Asopa H, Cardenas F, Gill B
Prog Pediatr Surg. 1978;11:75-86.
Forty-six cases of neonatal necrotizing enterocolitis are reported, with a 46% mortality rate. Unlike most other series, low birth weight children accounted for only half the cases. The recognized initiating factors of hypoxia and hemodynamic changes were not always present. A high index of suspicion in the child with non-specific malaise and earlier positive diagnosis provide the most likely means of improving results.
报告了46例新生儿坏死性小肠结肠炎病例,死亡率为46%。与大多数其他系列不同的是,低体重儿仅占病例的一半。公认的缺氧和血流动力学变化等起始因素并非总是存在。对有非特异性不适的患儿保持高度怀疑指数并尽早做出阳性诊断,是最有可能改善治疗结果的方法。