| 摘要 |
Background: The aimof this studywas to evaluate the clinical significance of the newborn with black-bluish discoloration of the abdominal
wall (blue abdomen).
Methods: Between December 2007 and November 2016, neonates with blue abdomen referred for the suspicion of spontaneous intestinal
perforation (SIP) were retrospectively reviewed. Clinical features and their prognosis were analyzed.
Results:During the study period, there were 10 neonates with blue abdomen. Of them, five neonates were proven as having SIP and the
others were free of perforation. Enteral feeding was significantly associated with SIP ( P = 0.038); however, gestational age, birth weight,
gender, the timing of presentation, white blood cell count, platelets count, and the use of indomethacin as well as surfactant therapy were
not significantly different between the two groups ( P = 0.338, 0.610, 0.490, 0.326, 0.084, 0.741, 0.292, and 0.197, respectively). There
was no statistically significant difference in survival between the two groups ( P = 0.490).
Conclusions: Black-bluish discoloration of the abdominal wall may be a classical physical finding of SIP, but not be specific to SIP. The
factor of enteral feeding might help to establish an appropriate diagnosis before invasive procedures. Because of high mortality, exploratory
laparotomy should be avoided if there is no pneumoperitoneum. |
