Expert consensus on the diagnosis and treatment of common neonatal diseases in primary healthcare institutions: neonatal vomiting (2025)

Subspecialty Group of Neonatology, Society of Pediatrics, Chinese Medical Association; Editorial Board, Chinese Journal of Contemporary Pediatrics

doi:10.7499/j.issn.1008-8830.2412163

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Chinese Journal of Contemporary Pediatrics ›› 2025, Vol. 27 ›› Issue (7) : 770-777. DOI: 10.7499/j.issn.1008-8830.2412163

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Expert consensus on the diagnosis and treatment of common neonatal diseases in primary healthcare institutions: neonatal vomiting (2025)

Subspecialty Group of Neonatology, Society of Pediatrics, Chinese Medical Association; Editorial Board, Chinese Journal of Contemporary Pediatrics

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Abstract

To assist primary healthcare personnel in promptly and accurately identifying neonatal vomiting, providing precise diagnosis, standardized treatment, or timely referral for rescue, thereby reducing the occurrence of complications and ensuring the health of infants, the Subspecialty Group of Neonatology, Society of Pediatrics, Chinese Medical Association has organized experts to formulate this consensus based on the latest clinical research advancements and thorough discussions. This consensus addresses eight common clinical issues faced by primary healthcare personnel and forms 21 recommendations.

Key words

Vomiting / Consensus / Diagnosis / Treatment / Primary healthcare institution / Neonate

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Subspecialty Group of Neonatology, Society of Pediatrics, Chinese Medical Association; Editorial Board, Chinese Journal of Contemporary Pediatrics. Expert consensus on the diagnosis and treatment of common neonatal diseases in primary healthcare institutions: neonatal vomiting (2025)[J]. Chinese Journal of Contemporary Pediatrics. 2025, 27(7): 770-777 https://doi.org/10.7499/j.issn.1008-8830.2412163

References

List( Publishing order | Descend order by publishing year | Descend order by cited within ) Chart analysis

[1]	邵肖梅, 叶鸿瑁, 丘小汕. 实用新生儿学[M]. 5版. 北京: 人民卫生出版社, 2019. Cited in this article [8]

[2]	Batu ED, Yeni S, Teksam O. The factors affecting neonatal presentations to the pediatric emergency department[J]. J Emerg Med, 2015, 48(5): 542-547. DOI: 10.1016/j.jemermed.2014.12.031 . https://www.ncbi.nlm.nih.gov/pubmed/25648054 Cited in this article [1]

[3]	Ratnayake K, Kim TY. Evidence-based management of neonatal vomiting in the emergency department[J]. Pediatr Emerg Med Pract, 2014, 11(11): 1-20. https://www.ncbi.nlm.nih.gov/pubmed/25928976 Cited in this article [1]

[4]	欧明娥, 刘晓颖, 孟娜娜, 等. 广东省38家基层医院儿科急诊情况调查[J]. 中国基层医药, 2017, 24(17): 2599-2602. DOI: 10.3760/cma.j.issn.1008-6706.2017.17.010 . Cited in this article [1]

[5]

Sultana

, Hasenstab

, Jadcherla

. Pharyngoesophageal motility reflex mechanisms in the human neonate: importance of integrative cross-systems physiology[J]. Am J Physiol Gastrointest Liver Physiol, 2021, 321(2): G139-G148. PMCID: PMC8410102. DOI: 10.1152/ajpgi.00480.2020 .

https://www.ncbi.nlm.nih.gov/pubmed/34105355

Cited in this article [1]

[6]

Indrio

, Neu

, Pettoello-Mantovani

, et al. Development of the gastrointestinal tract in newborns as a challenge for an appropriate nutrition: a narrative review[J]. Nutrients, 2022, 14(7): 1405. PMCID: PMC9002905. DOI: 10.3390/nu14071405 .

https://www.ncbi.nlm.nih.gov/pubmed/35406018

Cited in this article [1]

[7]	罗洁, 姜敏, 邵芳, 等. 265 例新生儿内科性呕吐病因分析[J]. 山东医药, 2015, 55(45): 83-84. DOI: 10.3969/j.issn.1002-266X.2015.45.033 . Cited in this article [1]

[8]	贾志民. X线在新生儿消化道畸形诊断中的应用研究[J]. 影像研究与医学应用, 2018, 2(2): 77-78. DOI: 10.3969/j.issn.2096-3807.2018.02.045 . Cited in this article [1]

[9]	林紫晴, 成宇璐, 罗慧, 等. 床边超声对新生儿先天性消化道畸形的诊断价值[J]. 中国实用医药, 2020, 15(10): 59-61. DOI: 10.14163/j.cnki.11-5547/r.2020.10.024 . Cited in this article [1]

[10]	刘萍萍, 黎新艳, 欧作强, 等. 超声筛查在新生儿消化道畸形诊断中的应用[J]. 中国妇幼健康研究, 2022, 33(7): 66-71. DOI: 10.3969/j.issn.1673-5293.2022.07.012 .

[11]	李红星, 唐维兵. 新生儿消化道畸形的临床特点及早期诊断方法探讨[J]. 临床小儿外科杂志, 2022, 21(9): 820-826. DOI: 10.3760/cma.j.cn101785-202205033-005 . Cited in this article [1]

[12]	李国庆, 李丹. 消化道造影在新生儿呕吐性疾病诊断中的重要价值[J]. 影像研究与医学应用, 2024, 8(14): 120-122. DOI: 10.3969/j.issn.2096-3807.2024.14.038 . Cited in this article [1]

[13]	中华医学会儿科学分会新生儿学组, 中华儿科杂志编辑委员会. 新生儿牛奶蛋白过敏诊断与管理专家共识（2023）[J]. 中华儿科杂志, 2024, 62(1): 12-21. DOI: 10.3760/cma.j.cn112140-20231007-00257 . https://www.ncbi.nlm.nih.gov/pubmed/38154972 Cited in this article [2]

[14]	中华儿科杂志编辑委员会, 中华医学会儿科学分会. 儿童过敏性疾病诊断及治疗专家共识[J]. 中华儿科杂志, 2019, 57(3): 164-171. DOI: 10.3760/cma.j.issn.0578-1310.2019.03.002 . https://www.ncbi.nlm.nih.gov/pubmed/30818891 Cited in this article [1]

[15]	新生儿早发败血症早期识别和初步管理专家共识专家组, 张华岩, 毛健, 等. 新生儿早发败血症早期识别和初步管理专家共识[J]. 中国循证儿科杂志, 2024, 19(5): 321-324. DOI: 10.3969/j.issn.1673-5501.2024.05.001 . Cited in this article [1]

[16]	湖南省新生儿医疗质量控制中心, 湖南省医学会围产医学专业委员会新生儿学组. 早产儿早发型败血症的诊断与抗生素使用建议: 湖南省新生儿科专家共识[J]. 中国当代儿科杂志, 2020, 22(1): 1-6. PMCID: PMC7389710. DOI: 10.7499/j.issn.1008-8830.2020.01.001 . https://www.ncbi.nlm.nih.gov/pubmed/31948515 Cited in this article [1]

[17]	胡志强, 张伶俐, 李幼平, 等. 新生儿细菌性脑膜炎药物治疗循证指南的系统评价[J]. 中国循证医学杂志, 2015, 15(1): 28-35. DOI: 10.7507/1672-2531.20140253 . Cited in this article [1]

[18]	沈茜. 儿童泌尿道感染诊治规范[J]. 中华实用儿科临床杂志, 2021, 36(5): 337-341. DOI: 10.3760/cma.j.cn101070-20210127-00115 . Cited in this article [1]

[19]	Eichenwald EC; Committee on Fetus and Newborn. Diagnosis and management of gastroesophageal reflux in preterm infants[J]. Pediatrics, 2018, 142(1): e20181061. DOI: 10.1542/peds.2018-1061 . https://www.ncbi.nlm.nih.gov/pubmed/29915158 Cited in this article [2]

[20]	朱家叶, 姜毅, 侯新琳, 等. 新生儿胃食管反流47例临床分析及随访研究[J]. 中华实用儿科临床杂志, 2018, 33(19): 1499-1502. DOI: 10.3760/cma.j.issn.2095-428X.2018.19.012 . Cited in this article [1]

[21]	张书豪, 陈功, 肖现民, 等. 先天性食管闭锁术后食管瘘的诊治[J]. 中华小儿外科杂志, 2018, 39(4): 255-259. DOI: 10.3760/cma.j.issn.0253-3006.2018.04.004 . Cited in this article [1]

[22]	冯众, 何炜婧, 高润楠, 等. 单中心10年先天性食管闭锁外科治疗及预后分析[J]. 中华小儿外科杂志, 2024, 45(2): 107-113. DOI: 10.3760/cma.j.cn421158-20231030-00431 . Cited in this article [1]

[23]	鲁金鹏, 付悦, 张恩召, 等. 新生儿肠闭锁手术治疗进展[J]. 临床小儿外科杂志, 2024, 23(2): 197-200. DOI: 10.3760/cma.j.cn101785-202204020-019 . Cited in this article [1]

[24]	张艳霞, 马立霜, 王莹, 等. 新生儿原发性局部小肠扭转10例临床分析[J]. 中华新生儿科杂志（中英文）, 2024, 39(2): 75-79. DOI: 10.3760/cma.j.issn.2096-2932.2024.02.003 . Cited in this article [1]

[25]	Wang D, Kang Q, Shi S, et al. Annular pancreas in China: 9 years' experience from a single center[J]. Pediatr Surg Int, 2018,34(8): 823-827. DOI: 10.1007/s00383-018-4299-0 . https://www.ncbi.nlm.nih.gov/pubmed/29909441 Cited in this article [1]

[26]	Berroa E, Alcaide N, Rodriguez M, et al. Annular pancreas: a potentially overlooked congenital pancreatic anomaly[J]. Gastroenterol Hepatol, 2014, 37(10): 596-597. DOI: 10.1016/j.gastrohep.2014.02.005 . https://www.ncbi.nlm.nih.gov/pubmed/25124266 Cited in this article [1]

[27]	路航, 唐杰, 唐维兵. 经典型先天性巨结肠手术时机与术前肠道管理的研究进展[J]. 临床小儿外科杂志, 2024, 23(4): 395-400. DOI: 10.3760/cma.j.cn101785-202304044-018 . Cited in this article [1]

[28]	Bokemeyer A, Ochs K, Fuhrmann V. Acute abdomen: diagnostic management[J]. Dtsch Med Wochenschr, 2020, 145(21): 1544-1551. DOI: 10.1055/a-1007-4264 . https://www.ncbi.nlm.nih.gov/pubmed/33080641 Cited in this article [1]

[29]	Fecteau G, Desrochers A, Francoz D, et al. Diagnostic approach to the acute abdomen[J]. Vet Clin North Am Food Anim Pract, 2018, 34(1): 19-33. DOI: 10.1016/j.cvfa.2017.10.001 . https://www.ncbi.nlm.nih.gov/pubmed/29233583

[30]	杨子浩, 张晨美. 儿童急腹症[J]. 中华实用儿科临床杂志, 2018, 33(6): 418-421. DOI: 10.3760/cma.j.issn.2095-428X.2018.06.006 . Cited in this article [2]

[31]	王朋朋, 朱晓东, 谢伟. 胎粪性腹膜炎的临床特征及预后相关因素分析[J]. 上海交通大学学报（医学版）, 2020, 40(5): 662-665. DOI: 10.3969/j.issn.1674-8115.2020.05.016 . Cited in this article [1]

[32]	陈新新, 周健, 王猛, 等. 新生儿胎粪性腹膜炎20例诊治体会[J]. 中国乡村医药, 2021, 28(17): 19-20. DOI: 10.3969/j.issn.1006-5180.2021.17.010 . Cited in this article [1]

[33]	赵宝红, 任红霞, 孙小兵, 等. 新生儿胃穿孔的临床特点及影响预后的因素[J]. 中华围产医学杂志, 2020, 23(4): 239-244. DOI: 10.3760/cma.j.113903-20190710-00436 . Cited in this article [1]

[34]	薛蕊, 张娟娟, 李占魁, 等. 新生儿胃穿孔临床特点及死亡危险因素分析[J]. 中华新生儿科杂志（中英文）, 2023, 38(7): 429-432. DOI: 10.3760/cma.j.issn.2096-2932.2023.07.008 .

[35]	李佳丽, 吴杨, 张莉, 等. 新生儿消化道穿孔患儿的临床特点及治疗结局[J]. 中华妇幼临床医学杂志（电子版）, 2022, 18(6): 703-711. DOI: 10.3877/cma.j.issn.1673-5250.2022.06.012 . Cited in this article [1]

[36]	陈梅, 林艳, 陈燕霞. 新生儿坏死性小肠结肠炎不同临床特征的护理对策[J]. 国际护理学杂志, 2019, 38(20): 3423-3426. DOI: 10.3760/cma.j.issn.1673-4351.2019.20.046 . Cited in this article [1]

[37]	Kliegman RM. Nelson Textbook of Pediatrics[M]. 21st ed. Amsterdam: Elsevier, 2019. Cited in this article [2]

[38]	Gomella TL, Eyal FG, Bany-Mohammed F. Gomella's Neonatology: Management, Procedures, On-Call Problems, Diseases, and Drugs[M]. 8th ed. New York: McGraw-Hill Education, 2020. Cited in this article [2]

[39]	Martin RJ, Fanaroff AA, Walsh MC. Fanaroff and Martin's Neonatal-Perinatal Medicine: Diseases of the Fetus and Infant[M]. 11th ed. Amsterdam: Elsevier, 2020. Cited in this article [2]

[40]	张红, 郭萍, 葛娜, 等. 儿科常见疾病护理常规[M]. 哈尔滨: 黑龙江科学技术出版社, 2022. Cited in this article [1]

[41]	王妍炜, 林志红. 儿科护理常规[M]. 郑州: 河南大学出版社, 2021.

[42]	吴敏. 儿科护理常规[M]. 北京: 人民卫生出版社, 2000.

[43]	陈俊强, 应燕萍, 杨丽, 等. 临床护理常规（妇产科、儿科）[M]. 南宁: 广西科学技术出版社, 2023.

[44]	余真. 新生儿呕吐的原因分析及护理对策[J]. 临床医药文献电子杂志, 2018, 5(7): 117. DOI: 10.16281/j.cnki.jocml.2018.07.097 . Cited in this article [1]

[45]	刘艳林, 钱敏, 史晓燕. 极低出生体质量儿实施重力喂养结合体位舒适护理的效果观察[J]. 中西医结合护理（中英文）, 2018, 4(12): 117-119. DOI: 10.11997/nitcwm.201812030 . Cited in this article [2]

[46]	闫奇东, 李亚男. 新生儿呕吐的原因分析及护理对策研究[J]. 母婴世界, 2020(2): 209.

[47]	廖必清. 关于新生儿呕吐的正确护理方案[J]. 健康必读, 2019(20): 110. Cited in this article [1]

[48]	王秀华, 张丽卓. 儿科护理学[M]. 北京: 人民卫生出版社, 2022. Cited in this article [1]

[49]	段红梅, 葛莉. 儿科护理学[M]. 3版. 北京: 人民卫生出版社, 2021.

[50]	崔焱, 张玉侠. 儿科护理学[M]. 7版. 北京: 人民卫生出版社, 2021. Cited in this article [1]

[51]	许丽艳, 张志蓉. 对产妇及家属实施新生儿呕吐正确处理教育的效果分析[J]. 当代护士（下旬刊）, 2017(7): 71-73. Cited in this article [1]

[52]	夏满. 新生儿呕吐的相关因素分析及护理措施[J]. 世界最新医学信息文摘, 2018, 18(93): 266. DOI: 10.19613/j.cnki.1671-3141.2018.93.230 . Cited in this article [1]

[53]	田莉颖. 早期护理干预在预防新生儿呕吐中的应用[J]. 婚育与健康, 2023, 29(16): 109-111. Cited in this article [1]

[54]	陈夏秋. 省级危重症新生儿救治指导中心新生儿转运情况分析[D]. 苏州: 苏州大学, 2021. Cited in this article [1]

[55]	中国医师协会新生儿科医师分会, 孔祥永, 封志纯, 等. 新生儿转运工作指南（2017版）[J]. 发育医学电子杂志, 2017, 5(4): 193-197. Cited in this article [1]