新生儿肚脐异常需诊治

新生儿肚脐异常需诊治 1 新生儿肚脐异常需诊治 胎儿通过脐静脉将营养物质传递给胎儿，又通过脐动脉将产生的废物传给母亲，由母亲代替排出体外。胎儿出生后，医生 将脐带结扎，新生儿和母体正式“脱离关系”，成为独立的人。但是，残留在新生儿身上的脐带残端，在未愈合脱落前，对新生儿来说十分重要。因为脐带残端是一 个开放的伤口，有丰富的血液，是病原菌生长的好地方，如果处理不当，病菌就会趁机而入，引起全身感染，导致发生新生儿败血症。因此，做好脐带护理工作，是 护理新生儿的重要内容之一。 新生宝宝每天都要检查脐部，保持脐部清洁干爽，免受尿便污染，并用75% 的酒精棉棍擦拭脐根部。脐带脱落后，脐凹处可能会产生分泌物，或面湿润，这是正常现象。但仍需用酒精消毒，或涂2%龙胆紫，以保证干燥。使用龙胆紫的弊 端是会掩盖脐部症状，故不主张使用。如果脐部结痂，应去除痂皮，彻底清洁底部。 脐部不可随便涂抹痱子粉等，以防感染。 1、小肚脐异常信号 正常情况下，新生宝宝的脐带会在出生两周内脱落。但是，宝宝的脐也会出现异常情况，应及时诊治。 脐部流水或有脓性分泌物。脐轮皮肤红肿或去除脐窝痂后有脓性分泌物。脐部分泌物有臭味，除局部消毒、清洗外可能还需用抗生素治疗，应去医院检查。若有发热、精神弱、吃奶差者，还应警惕有无败血症，需紧急求医，绝不能耽误。 2、脐肉芽肿 脐带脱落后，如果脐根部的创面受异物刺激(如爽身粉、血痂)或感染，会在局部形成小的肉芽组织:表面湿润，有少量黏液或血性分泌物，日久不愈。此时应及时就医，医生会用硝酸银烧灼或搔刮局部或电灼，均可以治愈。如果以上方法无效，应手术切除。 3、脐茸 脐带脱落后，创面有红色、表面光滑湿润像黏膜样的肿物，很像小息肉，有少量分泌物，称脐茸。脐茸与肉芽肿不同，它是肠黏膜组织，为胚胎时期卵黄管的残留物。脐茸的治疗方法与肉芽肿相同。 4、脐瘘 脐带脱落后，脐正中有黏膜样物，中心有孔，有肠内物流出，并带有臭味，周围皮肤发生糜烂。此为胚胎时卵黄管与脐部相通，卵黄管未闭合残留所致，需住院切除治疗。 脐部有一圆形或半圆形肿物，哭时增大，安静时恢复，手指探入可触到根茎部的边缘。这是脐部的腹直肌鞘未合拢，腹压增高时，腹膜、肠管等由此部位向外突起所致。小的脐疝 1 2 在1岁以后会自愈，或用胶布加压法固定，大的脐疝需2~4岁后进行手术治疗。 5、脐湿疹 因过敏因素引起肚脐及周围皮肤的皮疹，表现为丘疹、糜烂、渗出及脱屑等。可以用 1%~4%硼酸液外洗、涂氧化锌油等方式治疗。 Fetuses with umbilical vein delivers the nutrients to the fetus, and through the umbilical artery will waste to mother, instead of out of the body by his mother. After birth, the doctor will of umbilical cord ligation, neonatal www.tdwk.net and maternal formal \"from the relationship\", became an independent person. But residue on neonatal umbilical cord stump, before healing falls off, it is very important for newborns. Because the umbilical cord stump is an open wound, is rich in blood, is a good place to pathogen growth, if mishandled, germs will take in and cause systemic infection, can cause neonatal sepsis. Therefore, do a good job in umbilical cord care is one of the important contents of the nursing of newborn. Newborn babies to check all the time every day, keep the bellybutton clean dry, from urine pollution, with 75% alcohol cotton swab to wipe umbilical roots. After falling off the umbilical cord and umbilical sunken place may produce secretions, or wet surface, this is normal phenomenon. But still need to use alcohol disinfection, or 2% gentian violet, to ensure that the dry. Use gentian violet is on the tip of the disadvantages will hide bellybutton symptoms, so don't use. If time is scabby, should remove the scab skin, thoroughly clean the bottom. Belly button not casually daub prickly heat, etc., to prevent infection. 1, small navel abnormal signal Under normal circumstances, the umbilical www.jxdjxz.com cord of newborn babies will be born in the two weeks off. But the baby's umbilical also can appear abnormal situation, should be timely diagnosis and treatment. Time for running water or purulent secretion. Umbilical round skin irritation or removing scab purulent secretion after. Bellybutton discharge is smelly, in addition to local disinfection, cleaning may need antibiotics, should go to a hospital checking. If there is fever, spirit is weak, memory, eat milk, also should be vigilant the presence of sepsis, need emergency doctor, will not delay. 2, umbilical granuloma If after falling off the umbilical cord and umbilical roots of wound stimulated by foreign bodies (such as talcum powder, XieJia) or infection, will be formed in the local small granulation tissue: wet surface, have a small amount of mucus or hemorrhagic secretions, time will not more. At this time should be timely medical treatment, the doctor will be burning with silver nitrate or scratch scratch local or electric bright, can cure. If the above method is invalid, should be removed surgically. 3, chopped umbilical 2 3 After falling off the umbilical cord, wound with red, surface smooth and moist as mucous membrane of the mass, much like small polyps, have a small amount of secretions, says chopped navel. With chopped umbilical granuloma is different, it is bowel mucosa, vitelline duct for embryonic period of the residue. Chopped umbilical treatment is the same as the granuloma. 4, umbilical fistula After falling off the umbilical cord, the sample median umbilical have mucous membrane, center hole, have intestinal logistics, with a bad smell, and the surrounding skin erosion. This is when the embryo yolk tube and navel are interlinked, vitelline duct closure caused by residual, need excision treatment in hospital. Felt a circle or semicircular neoplasm, cry, quiet when recovery, fingers into can touch to the edge of the rhizome part. Is this time did not fold rectus sheath, increased abdominal pressure, peritoneal, intestinal canal part outwards protuberant caused by. Small umbilical hernia after one year of age can self-healing, fixed or compression method with tape, big umbilical hernia surgery should be carried out after 2 ~ 4 years old. 5, umbilical eczema Navel and surrounding skin rash caused by allergic factors, performance for pimples, erosion, seepage and desquamation, etc. Can use 1% ~ 4% boric acid fluid outside the wash oil, zinc oxide coating treatment. 3