肠套叠二次空气灌肠临床实践与选择

The Clinical Practice and Choice of 2 stage Air Pressure Enema Reduction of Intussusception

目的 :探讨肠套叠二次空气灌肠的指征及其临床意义。方法 :首次空气灌肠失败经选择后行二次空气灌肠 2 9例。结果 :2 3例肠套叠经二次空气灌肠整复治愈 ,6例肠套叠二次空气灌肠整复失败 ,经手术证实 4例为回回结型肠套叠 ,2例为回结型肠套叠。本组无 1例并发肠穿孔。结论 :肠套叠二次空气灌肠可提高空气灌肠整复率 ,减少剖腹探查阴性病例 ,其成功关键在于 :①肠套叠的类型 ;②血便量少 ;③病程 <48h ,患儿全身情况好 ,无中毒症状或腹膜刺激征 ;④扩容、解痉。

Objective:To investigate the clinical implications of 2 stage air pressure enema reduction of intussusception.Method:Twenty nine cases of 2 stage air pressure enema reduction were analysed.Results:Twenty three of 29 cases of 2 stage air pressure enema reduction were cured,6 failed which attested to be 4 cases of complex intussusception and two cases of simple intussusception by ventrotomy,None of intestional perforation occurred in 2 stage air pressure enema reduction . Conclusions:The curability of 2 stage air pressure enema reduction was risen , the incidence of negative ventrotomy was reduced , it is concluded that curability is duo to:① the types of intussusception,② amount of hematic stool,③ the childrens conditions were good,④ it is necessary for the children to be received extension hematic content, free from convulsion and mitigation.