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目的探讨长春地区小儿肠套叠临床流行病学特点,为早期诊断及有效治疗提供科学依据。方法通过调查分析794例小儿肠套叠患儿临床流行病学资料,包括患儿一般情况、小儿喂养、饮食情况等发病的相关因素、临床特点、诊断、治疗及预后情况。结果长春地区小儿肠套叠男女之比为2.08∶1;年龄3月龄~10岁,24月龄婴幼儿占75.22%,发病高发年龄为6~12月龄;发病季节全年均可发病,6月份出现发病高峰。临床症状96.98%为腹痛,其次为呕吐、阵发性哭闹、便血和腹泻等,体征有腹部包块、精神萎靡等;空气灌肠复位成功率69.29%,手术治愈率100.00%;平均住院时间(5.51±2.72)d,手术治疗平均住院时间明显高于空气灌肠组。结论小儿肠套叠多为原发性,临床表现典型,对临床怀疑肠套叠的患儿及早进行超声和X检查,可早期明确诊断,及时治疗;年龄、喂养方式、肥胖等与疾病的发生相关,明确发病原因及流行病学变化对早期防治有重要意义。
Objective To investigate the clinical epidemiological characteristics of infantile intussusception in Changchun area and provide a scientific basis for early diagnosis and effective treatment. Methods The clinical epidemiological data of 794 pediatric patients with intussusception were collected and analyzed, including related factors, clinical features, diagnosis, treatment and prognosis of children with general conditions, pediatric feeding and dietary conditions. Results The ratio of male to female in intussusception was 2.08:1 in Changchun area. The age of infants aged 3 months to 10 years old and 24 months old was 75.22%, and the age of onset was 6-12 months. The morbidity season was all year, Peak incidence in June. Clinical symptoms 96.98% were abdominal pain, followed by vomiting, paroxysmal crying, blood in the stool and diarrhea, signs of abdominal mass, apathetic, etc .; air enema reduction success rate of 69.29%, 100.00% surgical cure rate; average length of stay 5.51 ± 2.72) d, the average length of stay of surgery was significantly higher than the air enema group. Conclusion Children with intussusception are mostly primary and have typical clinical manifestations. Early ultrasound and X-ray examination in children with suspected intussusception can be diagnosed early and treated promptly. Age, feeding patterns, obesity and other diseases Related, a clear cause of the disease and epidemiological changes of early prevention and treatment are of great significance.