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本文讨论新生儿先天性巨结肠结肠炎(HDEC)与新生儿坏死性小肠结肠炎(NE-C)的鉴别诊断。根据本组资料分析,NEC组孕期并发症、早产儿、低出生体重儿、窒息和伴发病更多见HDEC。临床表现以腹胀、呕吐、腹泻和便血为主。X线特征为肠囊样积气和门静脉积气。孕期并发症、窒息和伴发病少。绝大多数是足月儿,出生体重超过2500g。临床表现以胎粪排出延迟、腹胀、呕吐或便秘伴腹泻为主。30％泛影葡胺结肠造影可显示狭窄段。
This article discusses the differential diagnosis of neonatal Hirschsproto-disease (HDEC) and neonatal necrotizing enterocolitis (NE-C). According to the analysis of this group of data, NEC group pregnancy complications, premature children, low birth weight children, asphyxia and associated with more HDEC. Clinical manifestations of bloating, vomiting, diarrhea and blood in the stool. The X-ray features are gut-like pneumatosis and portal vein pneumatism. Pregnancy complications, asphyxia and concomitant disease less. The vast majority of full-term children, birth weight more than 2500g. Clinical manifestations of delayed discharge of meconium, abdominal distension, vomiting or constipation with diarrhea-based. 30% diatrizoate colon angiography can show the stenosis.