小儿肠套叠硫酸钡溶液复位技巧分析  

Analysis of intussusception reconstructivein using dilute barium sulfate solution skills

作　　者：王宝锋[1] 

机构地区：[1]河南省南阳市中心医院放射科,河南南阳473000

出　　处：《中国伤残医学》2015年第4期30-31,共2页Chinese Journal of Trauma and Disability Medicine

摘　　要：目的：探讨肠套叠整复中采用稀硫酸钡溶液（以下简称稀钡）的操作技巧。方法：肠套叠患儿用稀钡灌肠诊断并整复,采用间歇加压法不断调整体位并适当腹外加压一系列技巧,尽可能提高复位率。结果：采用稀钡整复小儿肠套叠154例复位113例（73.4%）,74例套头在结肠肝曲以内者,复位成功63例（85.1%）；57例套头在结肠脾曲与肝曲之间者,复位成功45例（78.9%）,35例套头在直肠与结肠脾曲之间者,复位成功4例（11.4%）。结论：采用稀钡溶液整复肠套叠在把握好适应证的情况下安全、有效。Objective：To investigate the intussusception reconstructive in using dilute barium sulfate solution （ hereinafter referred to as dilute barium） skills;Methods：children with intussusception with dilute barium enema diagnosis and reconstructive, intermittent compression method was used to continuously adjust the position and the external pressure appropriate range of skills, improved the reset rate as much as possible. Results：dilute barium technique on 154 cases of infantile intussusception reduction and 113 cases （73. 4%）, 74 cases of head within colon hepatic flexure, reset successfully in 63 cases （85. 1%）. 57 cases of head between colon splenic flexure and hepatic flexure, reset successful 45 cases （78. 9%, 35 cases of hedge between the rectum and colon splenic flexure, reset successful 4 cases （11. 4%） . Conclusion：using dilute barium solution reduction intussusception in grasp might be safe and effective.

关 键 词：小儿肠套叠 稀钡整复 手法复位 肠套叠长度 肠套叠时间 

分 类 号：R574.3[医药卫生—消化系统]