摘要
目的 :探讨肠套叠的诊断和治疗。方法 :对 35 2例肠套叠行空气灌肠整复失败改为手术治疗的 66例进行回顾性研究。结果 :术中 3例未发现肠套叠 ,但有回肠压迫性水肿。徒手复位 42例 ,肠切除 1 3例 ,必须切除阑尾、憩室各 3例 ,死亡 2例。结论 :小儿肠套叠 ,一般情况好 ,在 X线荧屏下 ,可适当延长注气时间 ,增加注气压力。对中毒严重、肠生机不良者 ,采用肠切除术。
Objective:To study the diagnosis and treatment of acute intussusception in infants.Methods:Sixty six patients were analysed retrospectively who had an operative treatment because of a failing air enema reduction.Results:There were 3 cases without intussusception but with compression dropsy of the ileum during operation.Forty two patients were given hand reduction,13 enterectomy,3 appendectomy,and 3 diverticulumectomy.Two patients died.Conclusion:It is appropriate to lengthen insufflation time and increase pressure in the treatment for intussusception of children.Enterectomy could be taken for patients with severe intoxication and intestinal malvitality.
出处
《滨州医学院学报》
2002年第4期266-267,共2页
Journal of Binzhou Medical University
关键词
肠套叠
空气灌肠
手术治疗
儿童
children
intussusception
air enema
operation
