“果酱样大便”对小儿肠套叠诊断意义的初步探讨

Deliberation of the term ‘currant jelly’ in intussusception

目的 探讨“果酱样大便”是否为描述肠套叠病儿大便性状改变的合适术语。方法 总结近 16年来收治的肠套叠病人 115例 ,对其大便性状进行回顾性研究。结果 在 115例中 ,出现“果酱样大便”5 2例 ,占 45 % ,远低于大多教科书的描述。但若包括暗红色、鲜红色、血水样、黑便、粘液便、脓血便等其他形式的血便 ,则共 93例 (89% )。结论 “果酱样大便”在肠套叠中的出现率并不很高 ,不仅不能准确描述血便的性状 ,而且有误导诊断的可能。

Objective To study if the term ‘currant jelly’ is a proper term that can accurately describes the stool in patients with intussusception. Methods one hundred and fifteen cases were analysed. Results Patients with currant jelly were 52(45%) lower than the records of most works,while the patients with bloody stool were 93(89%). Conclusion ‘Currant jelly’ is not very common in intussusception,and it can not give a accurate discription of the stool in the patients with intussusception,otherwise,it can mislead the unexperienced doctors in diagnosis.