摘要
目的 探讨空气灌肠诊治复杂型肠套叠的技巧。方法 用 6～ 8kPa压力进行诊断性空气灌肠 ,发现结肠内肠套叠后用 8～ 14kPa压力范围交替进行空气灌肠复位术 ,最关键是结肠内软组织肿块在回盲部消失那一瞬间一定要变化使用压力 (放掉压力 ) ,并透视下连续观察及连续快速点片。结果 32例婴幼儿肠套叠中发现复杂型肠套叠 6例 ,占 18 75 % ,复位成功率占复杂型肠套叠的 6 6 6 %。结论 空气灌肠过程中压力的合理应用能提高复杂型肠套叠的诊断率和复位率 ,而且能明确观察到一定范围内的小肠套叠X线直接征象。
Objective To discuss the skill of air enema in diagnosing and treating complicated intussusception.Methods 6-8kPa pressure was given to diagnose air enema,and 8-14kPa pressure was used alternately to enema while finding colon invagination.It was the most important to change pressure and take photoes continuously at the moment of the colon mass disappearing in ileocecum.Results Six cases of complicated intussusception were found in thirty-two infant intussusception,which accounting for 18.75%.The rate of repositing successfully was 66 6%.Conclusion The reasonable use of pressure could greatly improve the rate of diagnostic accuracy and successful reposition in complicated intussusception and we could observe the X-ray sign of intussusception in a certain range of small intestines definitely.
出处
《医药论坛杂志》
2003年第10期8-9,F003,共3页
Journal of Medical Forum
