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目的探讨婴幼儿急性肠套叠误诊常见原因,指导临床医师提高肠套叠的确诊方法。方法对56例婴幼儿急性肠套叠误诊临床资料进行回顾性分析。结果 56例中急行空气灌肠46例,成功44例,12例行手术治疗,1例合并肠坏死行肠切除吻合术。本组56例患儿经治疗后全部治愈出院。结论详细询问病史,仔细体格检查,结合正确的辅助检查可减少婴幼儿急性肠套叠的误诊,提高确诊率。
Objective To explore the common causes of misdiagnosis of acute intussusception in infants and young children and to guide clinicians in the diagnosis of intussusception. Methods The clinical data of 56 cases of misdiagnosis of acute intussusception in infants and young children were retrospectively analyzed. Results In 56 cases, 46 cases were treated with acute air enema, 44 cases were successful, 12 cases were treated by surgery and 1 case was subjected to intestinal resection and anastomosis combined with intestinal necrosis. The group of 56 patients were cured after treatment were discharged. Conclusions Detailed medical history, careful physical examination, combined with the correct auxiliary examination can reduce the misdiagnosis of acute intussusception in infants and young children to improve the diagnosis rate.