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肠套迭多见于婴幼儿,成人肠会迭较少,且症状没有婴幼儿典型,产后肠套迭更少见,现将本院1981～1997年经手术证实的3例产后肠套迭报道如下。 1.病例资料 例1,38岁,G4P2孕33周,腹痛六小时,阴道流水四小时于1981年4月15日入院。入院时查宫高29cm,Lo,胎心好,宫缩紧。肛查:宫口开6cm,先露棘平,胎膜已破。入院半小时自娩一个未足月女婴。产房留观一小时转入病房时突然腹痛,随即呕吐,检查子宫收缩好,全腹软,未及包块,认为多胎产后宫收缩痛,给对症处理,无效,过一小时再检查腹部时在右肋下8cm有触痛,又过二小时检查左上腹深部似有包块及压痛。腹透无异
Intestinal intussusception more common in infants and young children, intestinal intestine will be less, and the symptoms of infants and young children typical, postpartum intussusception more rare, now the hospital from 1981 to 1997 surgically confirmed 3 cases of postpartum intussusception reported as follows. Case data 1, 38 years old, G4P2 pregnant 33 weeks, six-hour abdominal pain, vaginal water four hours on April 15, 1981 admission. Check the hospital admission high 29cm, Lo, good fetal heart, tightening of the contractions. Anal examination: cervix open 6cm, first exposed spine level, fetal membranes have been broken. Half an hour since admission to give birth to an under-term baby girl. The observation of the uterus contractions, vomiting, full abdominal soft, not mass, that multiple labor postpartum contraction, to symptomatic treatment, invalid, after an hour and then check the abdomen The right rib 8cm tenderness, and two hours later, check the left upper quadrant seems to have mass and tenderness. No difference in abdominal penetration