EVALUATION OF NEC IN TWO HOSPITAL IN TEHRAN IRAN
M.H. SOLTANZADEH
,MD AND A. AFKHAMI
PROFESSOR OF PEDIATRICS , SHAHID BEHESHTI UNIVERSITY
OF MEDICAL SCIENCE, TEHRAN ,IRAN
Abstract
Objectives; Necrotizing
Enterocolitis ( NEC ) is serious inflammatory Gastrointestinal
disease of the newborn it is the most common cause Of GI urgencies
in the neonatal period with high mortality and morbidity Rates.
Method; This is retrospective
study was done to determine some of Epidemiologic figures in the two
medical centers .
Results; 1832 newborn were
admitted in NICU , 48 cases was NEC 3.5 % Prematurity 87.5 % and
VLBW were the most common risk factors And the incidence of VLBW
and GA , lower than 32 wks was more Prominent in the severe forms of
the disease.most common clinical Manifestation include Distention
100% RD 60.5 %occult Blood 37.5 % Vomiting 33.3 % RX; dilated
loops,91.7% bowel wall thickening, 79.2% pneumatosis intestinalis
33.4 % intrahepatic portal venous gas 8.4%pneumoperitonean 8.4%
about91.7%have received at least one enteral feeding before NEC.
Death 22.9 % usually at II , III stage
KEY WORD:
Necrotizing Enterocolitis , Prematurity , VLBW ,Epidemiology |