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目的:观察早产儿及早使用血浆治疗消化道出血的治疗效果。方法:将诊断为消化道出血的早产儿86例,随机分为观察组40例和对照组46例,对照组患儿给予积极治疗原发病,禁食,经口或经鼻插入胃管,用11.4%碳酸氢钠液洗胃,至洗出液转清亮为止,静脉输注维生素K1。结果:观察组40例,显效8例,有效30例,无效2例,总有效率为95.0%;对照组46例,显效13例,有效23例,无效10例,总有效率为78.3%。两组疗效差异非常显著(x2=10.47,p<0.01),观察组疗效明显好于对照组,说明新鲜血浆可提高本症之疗效。结论:使用血浆治疗早产儿消化道出血疗效显著。
Objective: To observe the therapeutic effect of early use of plasma for treating gastrointestinal bleeding in premature infants. Methods: Eighty-six preterm infants diagnosed as gastrointestinal bleeding were randomly divided into observation group (n = 40) and control group (n = 46). The control group was given active treatment of primary disease, fasting, oral or nasal intubation, Gastric lavage with 11.4% sodium bicarbonate solution, until the eluate to clear until the intravenous infusion of vitamin K1. Results: The observation group of 40 cases, markedly effective in 8 cases, effective in 30 cases, 2 cases, the total effective rate was 95.0%; 46 cases in the control group, markedly effective in 13 cases, effective in 23 cases, ineffective in 10 cases, the total effective rate was 78.3%. The difference between the two groups was significant (x2 = 10.47, p <0.01). The observation group was significantly better than the control group, indicating that fresh plasma can improve the efficacy of this disease. Conclusion: The use of plasma in the treatment of digestive tract bleeding in preterm children has a significant effect.