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Preterm low birth weight children in 29 cases of necrotizing enterocolitis

Of blood volume and intestinal perfusion, these factors can accelerate intestinal mucosal ischemia, necrosis, resulting in NEC. Second, the treatment of this disease and intermittent fasting is absolutely required decompression l4J. Disease progression can eat early, some improvement in the condition, abdominal distention disappeared, bowel recovery, fecal occult blood was negative after the first test 1,2 ml of 5% sugar water to feed, 4 to 6 times / d, 24 ~ 48h no abnormal , then a small amount of breast milk feeding tube, and gradually increment, until I: I fed to the physiological requirements. Suction feeding in the airway to avoid errors and found that stomach undigested to do with the milk, should stop feeding observation. NEC and infection in children with Gram negative bacteria, this 671.14 cases of positive blood culture in 10 cases of E. coli. NEC in the pathogen is unknown, should be the first choice of effective drugs for Gram-negative bacteria, such as 3rd generation cephalosporins, treatment not less than 2 weeks. Children also need to maintain stable internal environment to maintain body water and electrolyte, acid-base balance, intravenous drug use energy to provide hot cards []. Albumin, fresh frozen plasma and whole blood dried colloid osmotic pressure and maintain the body to provide clotting factors or platelets. Human blood using high-dose immunoglobulin enhance the body immunity. Course should provide sufficient oxygen to help flatulence and intestinal absorption of product gas. Third, careful nursing care of premature children with low body mass recovery of NEC is very important to accurately record intake and output 24h to record gastrointestinal decompression aspirates and stool volume and characteristics. Well disinfection and isolation to prevent cross-infection, always observe the situation of children with systemic, gastrointestinal signs, abdominal circumference measured at any time, and compared with the previous order to detect small changes are very necessary. Fourth, prevention of preterm low birth weight reduced the incidence of children is the fundamental preventive measures, early diagnosis and intervention can reduce the damage had been ill newborns, have been born premature and low birth weight children to strengthen the three aspects of management. 1. Feeding Management: premature and low birth weight children with feeding must not be rushed, even if no abnormal premature and low birth weight children, should be fed 5% sugar water test began, secure through 24 - 48h, and then try breastfeeding, carefully observation of digestive conditions, each gastric residue

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