小儿急性肠套叠的诊断与治疗

Diagnosis and therapy for acute intussusception of young children

目的 :探讨小儿急性肠套叠的诊断与治疗。方法 :对 2 0 0 1年 1月～ 2 0 0 4年 2月间收治的小儿肠套叠 4 2例临床资料进行回顾性分析。结果 :34例男患儿好发年龄为 4个月～ 10个月 ,以回结型最多见 (6 6 .6 % )。空气灌肠复位成功 31例 ,其余均手术治疗。死亡 1例 ,其余均治愈出院。结论 :早期诊断、早期治疗是小儿急性肠套叠空气灌肠复位成功的关键 ,发病超过 4 8h、血便超过 2 4h者不宜行空气灌肠复位术 ,必须手术治疗。

Objetive:To study the method in diagnosis and therapy for acute intussusception of young children.Methods:From January 2001 to Febuary 2004 in our department 42 cases of acute intussusception of young children treated were retrospectively analyzed.Results:In this group,there were 34 boys,usually falled ill during 4 months to 10 months old,and mostly were discovered ileum-colon type.31 cases were restored successfully by air clyster,the rest were operationed.One of them died,the others were cured.Conclusion:Early diagnosis,early therapy is the key point of restoration success by air clyster.The patient who falls ill over 24 hours and have blood shit over 24 hours will not be suitable to restore by air clyster,must be treated by operation.