小儿急性假性肠梗阻的诊治体会

Experience on the Diagnosis and Treatment of Acute Intestinal Pseudo Obstruction in Children

目的探讨小儿急性假性肠梗阻(AIPO)的临床特征及诊治经验。方法将我院收治的55例AIPO患儿的临床资料进行回顾性分析,总结诊治措施及治疗效果。结果本组53例患儿经保守治疗后在48 h内腹胀、腹痛消失,肠鸣音恢复正常,肛门恢复正常排便、排气。梗阻解除时间最短6 h,最长2 d,平均(12.45±2.24)h;2例保守治疗无效而实施盲肠造瘘术。所有患儿治疗后门诊随访复查1年,无病例再出现肠梗阻症状。结论熟悉小儿急性假性肠梗阻的临床特征,掌握诊断和鉴别诊断要点,对提高诊疗效果意义重大。

Objective To investigate the diagnosis and treatment of acute intestinal pseudo obstruction in children.Methods The clinical data of 55 cases with acute intestinal pseudo obstruction in children were analyzed retrospectively,and the measures of diagnosis and treatment and effect of treatment were summarized.Results The abdominal distension and stomachache of 53 children were disappeared in 48 hours by expectant treatment.And their borborygmus,venting and normal defecation were put back.The time of removeming the obstruction was from the 6 hours to 2 days and the average time was（12.45±2.24）hours.The 2 children were received the cecostomy because of expectant treatment futility.All of children were followed-up in clinic service after treatment for 1 year and there were no case recurred.Conclusion To be familiar with clinical feature of acute intestinal pseudo obstruction in children and to master the main points of diagnosis and differential diagnosis are important to improved the effect of diagnosis and treatment.