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肠套叠是婴儿最常见的急腹症之一,不及时处理可引起肠坏死危及患儿生命。结肠注气复位是长期临床实践证明的简便易行的有效方法。我科自1990～1994年对24例小儿急性肠套叠行结肠注气复位术,效果满意。现将体会报告如下; 1 临床资料 1.1 发病年龄:本组24例中,男14例(58.3％),女10例(41.7％),男女比例为3:2,年龄最大29月,最小4月,4—6月3例(12.5％),6—18月15例(62.5％)。 1.2 临床症状和体征:本组中阵发性哭闹不安20例(83.3％),便血21例(87.5％),腹部长形肿块15例(62.5％),呕吐23例(95.8％)。 1.3 X线检查所见:腹部透视或平片右腹部软组织肿块17例(70.8％),右腹部盲、结肠气体消失23例(95.8％),低位小肠梗阻14例(58.3％)。 2 讨论 2.1 小儿急性肠套叠一般多见于6—18
Intussusception is one of the most common acute abdomen infants, not timely treatment can cause intestinal necrosis of children’s lives. Colon gas insufflation is long-term clinical proven simple and effective method. Our department from 1990 to 1994, 24 cases of acute intussusception in children with colon gas injection reduction, with satisfactory results. Clinical experience 1.1 The age of onset: The group of 24 patients, 14 males (58.3%) and 10 females (41.7%), male to female ratio of 3: 2, the oldest 29 months, the smallest April 3 cases (12.5%) in April-June and 15 cases (62.5%) in June-May. 1.2 Clinical symptoms and signs: In this group, intermittent crying unease in 20 cases (83.3%), blood in the stool in 21 cases (87.5%), abdominal long lumps in 15 cases (62.5%) and vomiting in 23 cases (95.8%). 1.3 X-ray examination showed: 17 cases (70.8%) of the right abdomen soft tissue mass in the abdominal fluoroscopy or plain film, 23 cases (95.8%) of the right abdomen blindness, 14 cases (58.3%) of low intestinal obstruction. 2 Discussion 2.1 Pediatric acute intussusception more common in 6-18