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目的分析儿童肠套叠空气灌肠整复失败原因,探讨空气灌肠整复失败情况下的解决办法。方法选取我院收治的226例肠套叠患儿作为研究对象,根据整复效果的不同,分为观察组(整复失败)28例和对照组(整复成功)198例,分析两组患儿的空气灌肠表现,探究儿童肠套叠空气灌肠整复失败原因。结果整复器及有关连接管道漏气、灌肠使用压力不足、复杂型套叠、合并有其他胃肠道疾病、套叠头位置是导致儿童肠套叠空气灌肠整复失败的主要因素。结论针对儿童肠套叠空气灌肠整复失败原因,需要在治疗过程中采取针对性的预防办法,提高空气灌肠整复成功率,而二次灌肠整复是空气灌肠整复失败情况下的有效解决办法。
Objective To analyze the causes of defeat of intussusception air enema in children and to discuss the solution of air enema restoration failure. Methods Totally 226 children with intussusception admitted to our hospital were enrolled in this study. According to the effect of the restoration, 28 cases in the observation group (failed to complete restoration) and 198 cases in the control group (complete recovery success) Children’s air enema performance, to explore the reasons for failure of intussusception air enema. Results Compartment and related connection pipeline leakage, lack of pressure to use enema, complex overlapping, with other gastrointestinal diseases, nesting head position is the leading cause of intussusception air enema children failed to repair the main factors. Conclusions Aiming at the failure reasons of intussusception air enema in children, we need to take targeted preventive measures in the course of treatment to improve the success rate of air enema consolidation, while the second enema consolidation is an effective solution to the failure of air enema reorganization Method.