312例小儿肠套叠诊治体会  

Experience of diagnosis and therapy of infantile intussusception in 312 patients

作　　者：刘红波[1] 丁浩[1] 杨军[1] 

机构地区：[1]洛阳市妇女儿童医疗保健中心,河南洛阳471000

出　　处：《中国伤残医学》2015年第16期36-37,共2页Chinese Journal of Trauma and Disability Medicine

摘　　要：目的：探讨小儿肠套叠的临床特点，诊断及治疗。方法：回顾性分析312例小儿肠套叠的临床表现、治疗效果。254例患儿行空气灌肠治疗，58例手术治疗。结果：312例小儿肠套叠的主要症状以腹痛、便血、呕吐、腹部包块为主。空气灌肠，操作简便，复位率可达80％以上，空气灌肠如不能成功，需手术治疗。结论：早期诊断，合理选择辅助检查及术中、术后的正确处理是成功治疗小儿急性肠套叠、降低手术并发症的关键。Objective：To discuss the clinical characteristics ,diagnosis and therapy of infantile intussusception .Methods：Characteristics of the clinical manifestation ,therapy and prognosis were retrospected in 312 patients with infatile intussusception.254 children with air enema treatment, 81 children were surgery.Results：The main symptoms of 312 patients were abdominal pain ,bloody stool, vomiting and abdominal mass oriented intussusception .Air enema ,was simple ,reduction of over 80%.if air enema could not be successful , which need surgical treatment.Conclusion：Early diagnosis rational selection of auxiliary examination,corrective dispose of intraoperation and postopperation was the key to successfully treat acute intussusception and reduce the complications.

关 键 词：肠套叠 小儿 手术 

分 类 号：R574.3[医药卫生—消化系统]