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目的 分析小儿急性肠套叠的临床特点，探讨其诊断及治疗。方法 回顾分析１４３ 例小儿急性肠套叠病例，起病的主要临床表现和治疗措施及效果。结果 全部病例均以阵发性哭闹、呕吐、血便和腹部包块四大症状中之二项或以上为主要症状，其中阵发性哭闹１１９ 例占总例数８３－２％ ，呕吐１１４ 例（７９－７％ ） ，血便９８例（６８－５％） ，腹部包块１０１ 例（７０－６％ ）。肛门指检８０ 例中阳性者占６５／８０（８１－２％） 。Ｘ线透视下作空气低压灌肠确诊和整复治疗，成功１１８ 例（８２－５％） 。结论 小儿急性肠套叠早期的正确诊断和恰当的治疗与患儿预后密切相关，空气灌肠是肠套叠诊断及治疗的首选安全方法。
Objective To analyze the clinical features of acute intussusception in children and explore its diagnosis and treatment. Methods A retrospective analysis of 143 cases of pediatric acute intussusception cases, the main clinical manifestations and treatment measures and results. Results All cases were the main symptoms of paroxysmal crying, vomiting, bloody stools and abdominal mass four symptoms, of which 119 cases of paroxysmal crying accounted for 83-2% of the total number of cases, vomiting 114 Cases (79-7%), bloody 98 cases (68-5%), abdominal mass in 101 cases (70-6%). Anal fingering positive in 80 cases accounted for 65/80 (81-2%). Under the X-ray for air low pressure enema diagnosis and treatment, 118 cases (82-5%) were successful. Conclusions The correct early diagnosis and appropriate treatment of acute intussusception in children are closely related to the prognosis of children. Air enema is the safe method of choice for the diagnosis and treatment of intussusception.