摘要
目的探讨小儿肠套叠空气灌肠复位的指征以及如何进一步提高整复率。方法搜集10年间空气灌肠明确诊断而复位失败的90例小儿肠套叠病例,其中21例手术证实有肠坏死,回顾性分析其临床、X线表现及手术所见。结果复杂型肠套叠,发病时间长,套头大、移动性差以及套鞘松弛的患儿合并肠坏死的可能性更大。无肠管坏死的患儿复位失败的原因可能与套头水肿显著、颈部痉挛嵌顿或者灌肠压力偏低有关。结论仔细分析临床、X线表现可明确肠套叠是否合并肠坏死,从而正确选择治疗方法;通过补液、肌注镇静解痉药等辅助措施或适当提高灌肠压力可以进一步提高复位成功率。
Objective To evaluate diaplastic indication of children indigitation with air elysis and to increase diaplastie efficiency. Methods Ninety children indigitations diagnosed by air elysis during past 10 years were collected and these patients including 21 eases with intestinal ischemie necrosis experienced failing diaplasis. The clinical data, X - ray manifests and surgical changes were retrnspeetively analyzed. Results Intestinal neerosis of children indigitation occurred in complicated indigitation such as long invagination, fixed indigitation, lax invagination. The causes of failing diaplasis but no intestinal incrosis could be relative with intestinal edema, spasm of sheath and low pressure of clysis and or so. Condusion Analysis clinical data and X - ray manifests carefully can make clear if indigitation combined intestinal necrosis and selected accurate theapeutie method. Transfusion, applications of ataraetie and dis - spasm or increasing pressure of clysis can improve diaplastic efficiency.
出处
《临床和实验医学杂志》
2006年第4期338-339,共2页
Journal of Clinical and Experimental Medicine
关键词
肠套叠
空气灌肠
肠坏死
Indigitation
Air clysis
Intestinal necrosis
