新生儿坏死性小肠结肠炎手术时机评估的研究进展
杨欣茹1 李瑞学1 何海英2*

1包头医学院研究生学院，内蒙古自治区包头市，014040；

2包钢集团第三职工医院，内蒙古自治区包头市，014010；

摘要：坏死性小肠结肠炎（necrotizing enterocolitis，NEC）是新生儿重症监护室（NICU）中最常见的胃肠道急症，存在长期的不良预后，临床上决策手术时机常依据气腹的影像学表现和内科保守治疗失败，不同手术指征与NEC手术时机和结局相关。整体上，小儿外科手术死亡率较低，但最大比例的围手术期死亡继发于NEC，优化手术管理可避免不良结局。因此，本文对NEC患儿手术时机评估相关研究进行综述，为提高患儿存活率，改善不良预后提供理论基础。

关键词：坏死性小肠结肠炎；手术时机

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