Garramone N D, Busturia P, Morláns J R, Ruiz U
An Esp Pediatr. 1978 Dec;11(12):845-50.
Thirty five cases of necrotizing enterocolitis, seen in the past five years in this clinic, are reviewed. Twenty four cases were seen up to December 1977 and eleven cases from January to March 1978 due to a neonatal I.C.U. epidemy. The relationship between some of the accepted perinatal pathogenic factors and the development of necrotizing enterocolitis is analyzed. The temporal relationship of the time of diagnosis to the onset of treatment is an important consideration for the prognosis. We propose surgical treatment if after eighteen hours of treatment there is no improvement. A guideline for the early treatment and surgical indications of acute necrotizing enterocolitis, is suggested.
回顾了本诊所过去五年间收治的35例坏死性小肠结肠炎病例。截至1977年12月共收治24例，1978年1月至3月因新生儿重症监护病房的疫情又收治11例。分析了一些公认的围产期致病因素与坏死性小肠结肠炎发病之间的关系。诊断时间与治疗开始时间的时间关系是预后的重要考虑因素。我们建议，如果治疗18小时后仍无改善，则进行手术治疗。本文提出了急性坏死性小肠结肠炎的早期治疗和手术指征指南。
