小儿肠套叠的气钡及空气灌肠整复治疗的66例分析

Analysis of 66 Cases of Treating Gas Barium and Air Enema Intussusception in Children

目的探析气钡及空气灌肠整复治疗小儿肠套叠的临床效果。方法选择我院于2013年1月~2014年1月收治的66例小儿肠套叠患者作为研究对象,清洁灌肠后进行胸部透视,使用0.01~0.02mg/kg的阿托品进行解痉,使用3~5mg/kg的鲁米那让小儿患者镇静。由肛门插入Foley管,然后在X线的透视监控下注入空气以及150ml左右浓度在15%~20%的硫酸钡并观察情况,结束后还需要让患者结肠内的压力保持15~20min左右,适当给予补液以及抗生素,观察治疗效果。结果66例小儿肠套叠患者中,63例为治疗有效,所占比例为95.45%,另外有2例进行空气灌肠整复以及气钡整复的小儿肠套叠患者为治疗无效,所占比例为4.55%。结论气钡及空气灌肠法同时结合了气钡灌肠以及空气灌肠,与单纯的空气灌肠法相比,在具有修复率高以及安全等优点的同时还可以弥补空气灌肠整复的不足。使用该方法来治疗小儿肠套叠有着较好的临床治疗效果,同时其还可以在空气灌肠没有效果的时候在采用气钡灌肠进行整复,治疗成功率明显高于单纯的空气灌肠治疗,值得临床推广。

Objective Analysis and air barium enema reconstructive treatment of pediatric intussusception clinical results.Methods 66 cases of intussusception in children of patients in our hospital from January 2013 to January 2014 period as the research object,after cleaning enema chest fluoroscopy,using 0.01 to 0.02 mg/kg of atropine antispasmodic,use 3~5 mg/kg in pediatric patients with luminal let sedation.Foley tube inserted from the anus,and then injected into 150 ml of air and a concentration of between about 15%to 20%barium sulfate in the X-ray fluoroscopy to monitor and observe the situation,the need to make the pressure inside the colon of a patient after holding 15 to 20 minutes,appropriate rehydration and antibiotics,the treatment ef ect was observed.Results 66 cases of intussusception in children patients,63 cases of treatment is effective,the proportion was 95.45%,and another two cases of intussusception in children conducted in patients with air and barium enema reconstructive restoration of therapy,the share ratio of 4.55 percent.Conclusion The barium and air enema barium enema combined with the gas and air enema,compared with pure air enema,while having advantages such as repair rate and security can also compensate for the lack of air enema entire complex.Use this method to the treatment of pediatric intussusception has a good clinical ef ect,but it can also be in ef ect when there is no air enema uses barium enema performed in the entire complex,the treatment success rate was significantly higher than that of air enema,it is worth clinical practice.