小儿食物团性肠梗阻21例诊治分析  

Diagnosis and treatment of intestinal obstruction by foodballs in children(21 cases report)

作　　者：赖志鸿[1] 郑燕君[1] 

机构地区：[1]汕头大学医学院第一附属医院小儿外科,广东省汕头515041

出　　处：《中国基层医药》2006年第8期1320-1321,共2页Chinese Journal of Primary Medicine and Pharmacy

摘　　要：目的探讨小儿食物团性肠梗阻的诊断及治疗方法。方法回顾分析并总结21例小儿食物团性肠梗阻的临床资料。结果所有病例中入院时能明确提供进食难消化的完整食物团块病史者仅2例,临床表现以完全/不完全性肠梗阻为主,21例患儿均先予保守治疗,保守成功仅1例,其余20例均转为手术,全部治愈出院。结论小儿食物团性肠梗阻的临床特点无特异性,诊断较难,但对于来源于农村的不明原因单纯性肠梗阻患儿要高度怀疑；经短时间密切观察治疗后无效者,应尽早手术探查,手术时要注意全面仔细检查整个胃肠道,防止遗漏。Objective To explore diagnosisand treatment of intestinal obstruction by foodballs in children. Methods The clinical datum of 21 cases of intestinal obstruction by foodballs in children were retrospectively analyzed. Results While admission,only 2 cases could provide the history of having eaten foodballs wholly which could not be digested easily. The characteristics of clinical manifestation were intestinal obstruction completely or incompletely. All 21 cases had been treated conservatively first, only one case was successful and the other 20 cases had been cured by surgery afterwords. Conelusion There is no specific feature in clinical manifestations of intestinal obstruction by foodballs in children, so it is difficult to make the diagnosis, but it must be considered suspicious especially for those from rural area and with simple intestinal obstruction with reasons not known yet. If conservative therapy is failure in a short period,an operation should be done immediately. During operation, it is necessary to examine the whole digestive system thoroughly.

关 键 词：肠梗阻 小儿 食物团 诊断 

分 类 号：R726.5[医药卫生—儿科]