NEC symptoms in premature infants?

summary

Neonatal necrotizing enterocolitis (NEC) is more common in preterm infants. At present, it is considered to be related to intestinal immaturity, perinatal hypoxia, ischemia, infection, hypertonic diet and other factors. It is characterized by gastrointestinal ischemic necrosis and often complicated with intestinal perforation, which is one of the main causes of neonatal death. NEC symptoms in premature infants? Next, I'd like to share my views with you.

NEC symptoms in premature infants?

Premature infants and small for gestational age infants are more common. Asphyxia, intestinal or systemic infection, umbilical artery intubation, exchange of blood transfusion history, or congenital heart disease, the vast majority have opened milk. The main clinical manifestations were abdominal distension, vomiting and bloody stool.

Abdominal distension: it is often the first symptom, first stomach distension, then full abdominal distension, bowel sounds weaken or disappear, when intestinal necrosis or perforation, abdominal wall may appear local swelling, hardening, vomiting: vomit can take bile or coffee like.

Diarrhea, bloody stool: generally there is diarrhea first, drainage like stool, 5-10 times a day, 1-2 days later, bloody stool can be blood, jam like or black stool, or even only bloody stool. Others: mental depression, low reaction, cold limbs, pale complexion, acidosis, etc.

matters needing attention

In order to prevent neonatal hypoxic diseases, we should fast for 3-5 days to make the intestines fully rest until the condition is improved, so as to avoid poor intestinal perfusion. Breastfeeding is advocated, especially within 2 weeks of birth, the content of IgA in human milk is high, which has local protective effect on gastrointestinal mucosa of newborn, and the osmotic pressure of human milk is low, which is 286 mOsm / L. Prevent infection.