山莨菪碱在小儿肠套叠空气整复中的应用

Clinical evaluation of anisodamine in the air reduction for child intussusception

目的 探讨山莨菪碱在小儿肠套叠空气整复中的作用。方法 常规空气灌肠不能整复的患儿 5 5 0例 ,经肌注山莨菪碱 5mg ,2 0～ 30min后再行试灌。 结果 4 6 8例整复成功 ,82例未成功 ,其中2例穿孔 ,行手术治疗。结论 空气整复小儿肠套叠应用山莨菪碱是一种简易有效的方法 。

Objective To evaluate the effect of anisodamine in the air reduction for child intussusception. Methods Repeating the air reduction method for child intussusception after 20-30 min, muscular injection of anisodamine 5 mg, in 550 failure patients with routine air reduction method. Results 468 cases of intussusception persisted after routine air reduction were undergone second air reduction after administation of anisodamine with all outcoming of successful reduction. Other 82 cases still remained with intussusception after repeating the same procedure with anisodamine injection including 2 perforation cases; all were then undertaken surgical operation. Conclusion Air reduction for child intessusception with anisodamine is an easy and effective method ought to be recommanded.