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Necrotizing Enterocolitis in an Asphyxiated Premature Infant

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A case of NEC in a six days old asphyxiated premature infant was reported. The diagnosis was based on predisposing factors including low weight infant, severe ashpyxia, her mother suffered from fever and premature ruptur of the amniotic membrans more than 24 hours. Clinical features include abdominal distention with discoloration of the abdominal wall, vomiting bloody stool, sclerema, temperature instability, jaundice, and respiratory disstres. Plain abdominal X-ray examination showed significant intestinal distention, and hiponatremia. The patient was treated with supportive therapy and surgical intervention was not done because the poor condition of the patient. The prognosis of NEC depend on the severity of disease, with mortality rate varies from 0 to 64 percent. The prognosis of our case is not good and on January 28, 1994 she died.

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Paediatrica Indonesiana,36(5-6)1996:126-131

Publisher

: ., 1996

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Subject(s)

infant, premature
entrocolitis, pseudomembranous

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