论文部分内容阅读
目的总结儿童肠套叠空气灌肠复位的经验．方法回顾分析１４１例（１４５次）儿童肠套叠空气灌肠整复率和其中２５例灌肠复位失败的情况．所有病例对整复率与病程、套叠部位、全身情况（肠梗阻、脱水）的关系进行了统计分析．结果本组１４１例空气灌肠整复率为８２７％，统计学分析表明．整复成功与否与病程长短（＜２４ｈ为９２７％，４８ｈ～９６ｈ为５０１％），套叠部位远近（肝曲近侧为９２５％，降结肠到乙状结肠为５３３％），患儿全身情况（有无肠梗阻、脱水程度）有紧密关系．影响空气灌肠整复成功与否有多种因素，两种以上因素组合较单一因素更能预示灌肠复位的难易，认真选择适应证，提高整复技巧，将能提高整复率．结论儿童肠套叠空气灌肠１４１例１４５次，整复率８２７％．
Objective To summarize the experience of children with intussusception air enema reduction. Methods Retrospective analysis of 141 cases (145 times) children intussusception air enema recovery rate and 25 cases of enema reset failure. All cases of the recovery rate and duration of disease, overlapping parts, the general situation (intestinal obstruction, dehydration) were analyzed statistically. Results In this group of 141 cases of air enema recovery rate was 82 7%, statistical analysis showed. The success or failure of the treatment and the duration of the disease (<24h for 92.7%, 48h ~ 96h for 50.1%), nested region far and near (hepatomegaly 92.5%, descending colon to sigmoid colon 53.3 %), Children with systemic conditions (with or without ileus, degree of dehydration) are closely related. There are many factors affecting the success of air enema restoration. The combination of two or more factors is more indicative of the difficulty of enema reduction than the single factor. Careful selection of indications and improvement of rehabilitation techniques will improve the recovery rate. Conclusions Children intussusception air enema in 141 cases 145 times, the whole recovery rate 82 7%.