The study of X-ray findings and clinical factors of neonatal necrotizing enterocolitis
10.3969/j.issn.1002-1671.2015.09.026
- VernacularTitle:新生儿坏死性小肠结肠炎的X线征象和临床因素分析
- Author:
Tao LI
;
Zengjun ZHANG
;
Junle YANG
- Publication Type:Journal Article
- Keywords:
neonatal;
necrotizing enterocolitis;
radiolography
- From:
Journal of Practical Radiology
2015;(9):1503-1505,1514
- CountryChina
- Language:Chinese
-
Abstract:
Objective To study the X-ray findings and clinical factors of the neonatal necrotizing enterocolitis (NEC)and to im-prove the detection rate of neonatal NEC-especially early lesions.Methods To retrospectively analyzed the plain abdominal radio-graphy images and clinical data of the 21 cases with confirmed neonatal NEC by clinical and surgical diagnosis.Results The X-ray findings of neonatal NEC:stageⅠ:10 cases showed the changes in intestinal motility and the interval thickness between the intestine≤2 mm;stageⅡ:① 4 cases showed the interval thickness between the intestine > 2 mm;② 4 cases showed the pneumatosis of the intestinal wall;③ the pneumatosis of the portal vein were three cases;stage Ⅲ:① 3 cases showed seroperitoneum;② pneumoper-itoneum were three cases.18 cases (85%)were the premature infan;1 6 of 21 cases NEC were the low birth weight;neonatal re-spiratory distress syndrome,infection,pneumonia,sepsis,and mechanical ventilation therapy are important risk factors of NEC. Conclusion X-ray findings has characteristic signs in the neonatal NEC.At the early of NEC,it is very important to make the correct diagnosis need combine X-ray performance with the clinical manifestations and risk factors for,with the necessary dynamic follow-up review in the clinical treatment and prognosis.
