title: [Procedures in fulminant courses of necrotizing enterocolitis].
abstract: 14/42 neonates suffering from N.E.C. developed the clinical stage III (intestinal necrosis, septicemia) and/or IV (intestinal perforation, peritonitis) within 24-48 h ("fulminant" course). 2/14 deteriorated dramatically and died before operation. In 12/14 cases, the general condition could be improved and immediate laparotomy was performed (2/12 died). Management and factors affecting prognosis are discussed. Following surgery, there was no significant difference in survival rates between "fulminant" and protracted course N.E.C.
mesh_terms: D003131:Combined Modality Therapy; D004761:Enterocolitis, Pseudomembranous / Q000175:diagnosis / Q000601:surgery*; D006801:Humans; D007231:Infant, Newborn; D011379:Prognosis; D012306:Risk
vernacular_title: Vorgehen bei fulminanten Verlaufsformen der nekrotisierenden Enterocolitis.