儿童继发性肠套叠临床特点分析

发布时间：2018-04-04 20:12

  本文选题：儿童　切入点：继发性肠套叠　出处：《重庆医科大学》2013年硕士论文

【摘要】：目的：探讨大于3岁儿童继发性肠套叠的临床特点和发病原因，提高儿童肠套叠的诊治水平。 资料与方法：回顾性总结重庆医科大学附属儿童医院2001-2011收治的大于3岁儿童继发性肠套叠82例，分析其临床表现、发病原因及诊疗情况。 结果：82例患儿腹痛80例，呕吐56例，血便34例，腹部扪及包块31例。79例行超声检查，75例确诊，准确率94.9%。82例中过敏性紫癜48例（58.8%），，肠息肉9例（11.0%）、美克尔憩室7例（8.5%）、肿瘤5例（6.1%），其他13例。63例行空气灌肠复位治疗，28例复位成功，平均压力7.7Kp。54例手术治疗，术中见回结型18例，回回型11例，回盲型8例，空空型4例，回回结型4例，结结型4例，5例自动复位；14例肠坏死。 结论：大于3岁儿童继发性肠套叠比例随年龄增加而增加，过敏性紫癜是主要继发因素。肠套叠病程大于3d或者反复发生肠套叠者需警惕继发性肠套叠；病程超过14d需警惕肠道肿瘤。腹部彩超是目前诊断肠套叠准确率高、经济、安全的辅助检查方法。儿童肠套叠继发于过敏性紫殿时，空气灌肠是安全、有效的治疗方法。肠套叠由器质性病变引起时，手术去除病变是主要治疗手段。
[Abstract]:Objective: to investigate the clinical features and causes of secondary intussusception in children over 3 years old and to improve the diagnosis and treatment of intussusception in children.Materials and methods: 82 cases of secondary intussusception of children over 3 years old admitted to affiliated Children's Hospital of Chongqing Medical University from 2001 to 2011 were retrospectively summarized and their clinical manifestations, causes, diagnosis and treatment were analyzed.Results 80 cases of abdominal pain, 56 cases of vomiting, 34 cases of blood stool, 31 cases of abdominal palpation mass. 79 cases of abdominal palpation mass were diagnosed by ultrasonic examination.鍑嗙‘鐜

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