小儿急性肠套叠时肠坏死的诊断及治疗

Diagnosis and Treatment of Bowel Necrosis in Pediatric Acute Intussusception

目的:总结小儿急性肠套叠时肠缺血坏死临床诊治经验。方法:分析35例小儿急性肠套叠的临床表现及治疗结果。35例肠套叠分为无肠缺血坏死组22例和肠缺血坏死组13例,分别比较下列观察指标:持续性腹剧痛;固定性压痛;呕吐;血便;腹部肿块;体温和白细胞计数。结果:经统计方差分析,肠缺血坏死组患儿上述指标的发生率或绝对值明显高于无肠缺血坏死组,差异有统计学意义(P<0.05)。结论:对小儿急性肠套叠应予以高度警惕,要密切观察上述指标,早诊断、早治疗是防止肠缺血坏死的关键。

Objective： To summarize clinical experiences of diagnosis and treatment of bowel necrotic in pediatric acute intussusception. Method： Clinical situation and treatment effectiveness of 35 cases with pediattic acute intussusception were analyzed. 35 cases were divided into two groups： ischemia - necrosis of intestine and noischemia - necrosis of intestine. They were compared with following indexs： continuity abdominal agonia, fixity tenderness, emesis, bloody stool, abdominal mass, body temperature and white blood cell count. Results： To variance analysis, the incidence rate of indexs in ischemia - necrosis of intestine group was higher than that of noischemia - necrosis of intestine group （ P 〈 0.05 ）. Conclusion： Patients with pediatric acute intussusception were vigilanced. 7 indexs should be closely observed. Early diagnosis and treatment were juncture of preventing isehemia - necrosis of intestine.