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目的探讨小儿急性肠套叠空气灌肠复位术后早期复发再次灌肠的成功经验及相应护理对策。方法对2008年11月至2013年11月收治的小儿急性肠套叠582例患儿采用空气灌肠,灌肠前后均采取确实有效的护理措施。结果 582例均采用空气灌肠治疗,复位成功531例,成功率约91.2%。复位成功后,早期复发43例,均选择再次灌肠;再次灌肠后6例发生第二次复发,其中5例第三次灌肠成功,1例转为手术复位成功。所有患儿均治愈出院,未出现并发症或护理差错。结论有效的宣教、护理措施及时到位、病情严密观察及处理,是保证再次灌肠成功的关键护理措施。
Objective To investigate the successful experience and corresponding nursing strategies of early recurrence and re-enema after acute airway intussusception in children. Methods A total of 582 children with acute intussusception admitted to our hospital from November 2008 to November 2013 were given air enema, and effective and effective nursing measures were taken before and after enema. Results 582 cases were treated with air enema, successful reduction of 531 cases, the success rate of about 91.2%. After the successful reset, the early recurrence in 43 cases, were selected re-enema; re-enema after 6 cases of the second recurrence, of which 5 cases of the third enema was successful, 1 case was transferred to the surgical reduction. All children were cured and discharged without complications or nursing mistakes. Conclusion Effective mission, nursing interventions in place, close observation and treatment of illness, is to ensure the success of re-enema key nursing interventions.