论文部分内容阅读
目的探讨单纯手法整复无创治疗小儿肠套叠的体会。方法 2004年至2010年应用单纯手法整复小儿肠套叠10例,年龄5月～4岁,平均年龄18月,直接单纯手法整复成功3例。间接单纯手法整复成功7例,其中包括B超监视下生理盐水压力灌肠整复失败2例,灌肠整复成功后复位不全复发2例,肠套叠手术后一年复发性肠套叠1例,诊断肠套叠后住院决定手术治疗,在硬膜外麻醉下单纯手法复位成功,停止手术2例。结果本组10例肠套叠患儿最终均是经过单纯手法复位成功,复位所需时间5～30mins。复位后未发生肠穿孔及腹膜炎等并发症。结论严格掌握适应证,采取单纯手法整复肠套叠,简单,有效,无创,值得推广,试用。
Objective To explore the experience of simple manipulation of non-invasive treatment of children with intussusception. Methods From 2004 to 2010, 10 children with intussusception were repaired by simple manipulation. The age ranged from May to 4 years with a mean age of 18 months. Three cases were successfully treated by simple manipulation. Indirect simple manipulation of the successful restoration of 7 cases, including B-monitoring saline pressure enema failure in 2 cases, enema restoration failure incomplete recurrent in 2 cases, one year after intussusception recurrent intussusception in 1 case , Diagnosis of intussusception after hospitalization of surgical treatment, under simple epidural anesthesia, successful reduction of the way to stop surgery in 2 cases. Results The group of 10 cases of intussusception in children are ultimately successful after a simple reduction, reset the time required for 5 ~ 30mins. No intestinal perforation and peritonitis and other complications occurred after the reset. Conclusion Strict control of indications, using simple methods of intussusception, simple, effective, non-invasive, it is worth promoting, trial.