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本文通过１９７例肠套叠及其中３１例坏死性肠套叠的病例分析，认为肠套叠患儿提供的病史可信度差，不能单纯依据其病程来推断肠管有无坏死。资料表明：复套叠和深（达左半结肠）套叠患儿肠坏死发生率高，发生时间早，钡（气）灌肠应小心谨慎，压力宜低，不要强求整复，以免穿孔。作者认为患儿出现（１）发热；（２）脉速；（３）脱水；（４）ＷＢＣ增高；（５）明显腹胀；（６）肠鸣音减弱甚至消失；（７）腹腔中等量以上或血性渗液；（８）典型肠梗阻Ｘ线表现等症状常提示套叠肠管有血循障碍，建议将上述八项作为监察指标，具有四项以上表现的重症患儿，肠坏死发生率高，宜早行手术治疗
In this paper, 197 cases of intussusception and 31 cases of necrotizing intussusception cases that intussusception in children with a history of poor reliability, can not be simply based on its duration to infer whether there is necrosis of the intestine. The data indicate that the incidence of intestinal necrosis is high in patients with intussusception and deep (left-sided colon) intussusception. The occurrence of intestinal necrosis should be as early as possible. Barium (gas) enema should be used with caution and low pressure. Authors believe that children with (1) fever; (2) pulse rate; (3) dehydration; (4) WBC increased; (5) significant abdominal distension; (6) bowel sounds weakened or even disappeared; Or bloody exudate; (8) X-ray findings of typical intestinal obstruction and other symptoms often prompted intussusception intestinal blood circulation disorder, it is recommended that the above eight as a monitoring indicator, with more than four severe cases of children, the incidence of intestinal necrosis , Should be treated early surgery