婴幼儿急性肠套迭手术治疗238例分析

ANALYSIS 0F OPERATIVE TREATMENT OF ACUTE INFANTILE INTUSSUSCEPTION IN 238 CASES

２３８例结肠注气整复失败而手术治疗的急性婴幼儿肠套迭中，肠坏死７１例（２９．８４％），复套迭１１２例（４７．０６％），发现器质性病变１１例（４．６２％），结肠注气整复致肠穿孔６例（２．５２％），发病至就诊时间在４８ｈ以上７１例（２９．８３％）。认为本病结肠注气整复失败原因主要为：①复套迭，②肠坏死，③就诊时间过晚。强调要正确掌握空气整复适应及禁忌症，防止肠穿孔。并就本病结肠注气整复和手术的有关问题进行讨论。

n238 cases of acute infantle intussusception who failed to reduct with air-enema and under-went the operative therapy,71 cases Were intestinal necrosis (29. 84%),112 double intussuscep-tion (47. 06%),11 organic pathological changes(4.62%),6 intestinal perforation caused by air-/enema via intestiiie(2.52%)al1d 7l(29.83%)with more than 48 hours from the onset ofsymptoims to visit doctors. It suggested that the causes of failing to reduct with air- enema were as fol-lows:l.double intussusception,2.intestinal necrosis,and 3. late for visiting a doctor.It wasemphasized that the indication and contraindication for air-enema must be correctly grasped toprevent perforation.In this paper,somequestions about air-enema and operation of the diseasewere also discussed.