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目的探讨诊治小儿急性肠套叠的临床经验,旨在及时有效的治疗,从而降低患儿的痛苦。方法回顾性分析2010年6月～2011年8月我院收治的35例小儿急性肠套叠患者,分析其临床表现和治疗方法。结果 35例急性肠套叠患儿,有29例行空气灌肠复位,6例行开腹手术复位,所有患儿治疗后均愈合,无并发症出现。24小时内和24小时后确诊患儿行空气灌肠法和开腹手术法的人数比较,24小时内确诊患儿的手术率明显低于24小时后确诊患儿的手术率,差异具有统计学意义(P<0.05)。结论空气灌肠复位法是治疗小儿急性肠套叠的主要方法,早期诊断小儿急性肠套叠可以明显降低开腹手术率和患儿的痛苦。
Objective To explore the clinical experience of diagnosis and treatment of children with acute intussusception aimed at timely and effective treatment to reduce the suffering of children. Methods A retrospective analysis of 35 cases of children with acute intussusception admitted in our hospital from June 2010 to August 2011 was performed to analyze the clinical manifestations and treatment methods. Results 35 cases of acute intussusception in children, 29 cases of air enema reduction, 6 patients underwent open surgery reduction, all children healed after treatment, no complications. Within 24 hours and 24 hours after diagnosis of children with air enema and laparotomy compared the number of patients diagnosed within 24 hours was significantly lower than the rate of surgery in children diagnosed 24 hours after surgery, the difference was statistically significant (P <0.05). Conclusions Air enema reduction is the main method for the treatment of acute intussusception in children. Early diagnosis of acute intussusception in children can significantly reduce the rate of open surgery and the pain of children.