小儿肠套叠空气灌肠严重并发症(附10例分析)  

10 Cases of Child Intussusceptions with Severe Complications during and after Air Enema

作　　者：陈子鑫[1] 罗海龙[1] 蔡志彬[1] 郑明凯[1] 

机构地区：[1]广东省揭阳市人民医院放射科,广东揭阳522000

出　　处：《黑龙江医学》2011年第12期913-915,共3页Heilongjiang Medical Journal

摘　　要：目的探讨肠套叠空气灌肠严重并发症的原因及防治措施。方法对10例在空气灌肠诊治过程中及诊治后,发生严重并发症的肠套叠患儿病历进行分析。结果肠管破裂6例中,1例死亡;3例心跳呼吸骤停中,2例抢救成功并行手术治愈出院,1例抢救无效死亡;1例复位成功,但2 h后死亡。结论肠套叠患儿行空气灌肠时,应详细了解病程、各项基本生命体征、精神状况、急诊生化检查及腹部情况;灌肠过程中,应注意压力的调整并及时了解患儿生命体征的变化情况。Objective To explore the cause,prevention and treatment of severe complications during and after performing air enema in child intussusceptions.Methods 10 cases of child intussusceptions,who had severe complications during and after performing air enema,were analysed.Results Among them,6 cases had intestinal rupture（1 case died from intestinal rupture）;3 cases had cardiac and respiratory sudden arrest（2 cases were successfully rescued and finally cured by operation,1 case died）;1 case died at 2 hours after successful reduction.Conclusion When performing air enema in children with intussusceptions,the course of disease,vital signs,mental condition,emergency biochemical tests and physical examination of abdomen should be carefully evaluated;To reduce the occurence of complications in child intussusceptions,doctors should pay attention to the adjustment of air pressure and carefully observed the changes of vital signs of children during air enema treatment.

关 键 词：肠套叠 空气灌肠 并发症 

分 类 号：R726.1[医药卫生—儿科]