论文部分内容阅读
目的:探讨分析婴儿肠套叠的误诊原因以及减少误诊的措施。方法:回顾性分析36例婴儿肠套叠误诊病例的临床、实验室检查资料。结果:本组36例肠套叠误诊时间最长3 d,平均2 d。曾被误诊为菌痢、腹泻病、急性坏死性小肠结肠炎、肠痉挛、中枢神经系统感染、上呼吸道感染、肠系膜淋巴结炎及急性阑尾炎等病。22例经空气灌肠成功,成功率61.1%;14例经手术治疗而愈。全部病例治愈出院。结论:临床上要保持高度警惕性;仔细的体格检查是降低误诊率的关键,仔细观察患儿的表现和血便性状,常规进行肛门指检;仔细的体格检查是降低误诊率的关键;正确应用辅助检查是防止肠套叠误诊的的重要措施。
Objective: To explore the causes of misdiagnosis of infant intussusception and to reduce the misdiagnosis measures. Methods: A retrospective analysis of 36 cases of intussusception misdiagnosed cases of clinical, laboratory examination data. Results: 36 cases of intussusception misdiagnosis of the longest 3 d, an average of 2 d. Have been misdiagnosed as bacillary dysentery, diarrhea, acute necrotizing enterocolitis, intestinal spasm, central nervous system infections, upper respiratory tract infection, mesenteric lymphadenitis and acute appendicitis and other diseases. Twenty-two patients were successfully treated with air enema, with a success rate of 61.1%; 14 patients were cured by surgery. All cases were cured. Conclusion: To maintain a high degree of vigilance clinically; Careful physical examination is to reduce the rate of misdiagnosis of the key to carefully observe the performance of children and bloody stool traits, routine anal digital examination; careful physical examination is to reduce the rate of misdiagnosis of the key; the correct application Auxiliary examination is to prevent misdiagnosis of intussusception an important measure.