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为探讨婴幼儿急性肠套叠结肠注气整复失败的原因,对我院经结肠注气整复失败而手术治疗的急性婴幼儿肠套叠 441 例进行了总结与分析。结果: 发生肠坏死 92 例(20.9% ),复套叠 184 例(41.7% ),伴器质性病变 27 例(6.1% ),结肠注气致肠穿孔8 例(1.8% ); 全部病例均治愈出院。本组病例发生肠套叠结肠注气整复失败的主要原因是复套叠、肠坏死、就诊时间过晚、器质性病变及整复过程中出现肠穿孔。因而早期诊断是治疗成功的关键。
In order to investigate the causes of failure of acute intussusception in infants and young children with intussusception, 441 cases of acute infantile intussusception were surgically treated in our hospital. Results: There were 92 cases (20.9%) of intestinal necrosis, 184 cases (41.7%) of complex intussusception, 27 cases (6.1%) with organic lesions, and 8 cases of intestinal perforation .8%); all cases were cured. This group of patients with intussusception colon insufflation failure is the main reason for the failure of the complex stack, intestinal necrosis, treatment time is too late, organic lesions and the process of intestine perforation. Therefore, early diagnosis is the key to successful treatment.