论文部分内容阅读
目的 分析小儿呼吸道感染合并肠套叠的临床特征,提高对肠套叠的认识。方法 对1998年～ 2003年就诊于我院的36例小儿呼吸道感染合并肠套叠病例进行回顾性分析。结果 早期主要表现为呕吐(占 63.9%)和哭闹(占58.3%)等非特异性症状,腹部触及包块仅11.1%,血便13.9%,24例误诊为单纯呼吸道感染, 误诊率66.7%。结论 呼吸道感染合并肠套叠患儿早期临床表现多无特征性,误诊率高,需引起临床重视,对于疑 似病例应认真体检,密切观察病情进展,及时做肛门指检和诊断性空气灌肠以助诊。
Objective To analyze the clinical characteristics of children with respiratory tract infection complicated with intussusception and improve the understanding of intussusception. Methods A retrospective analysis was performed on 36 children with respiratory tract infection and intussusception admitted to our hospital from 1998 to 2003. Results Early showed vomiting (63.9%) and crying (58.3%) nonspecific symptoms. Only 11.1% of abdomen mass and 13.9% of bloody stools were found. Twenty-four cases were misdiagnosed as simple respiratory infections with a misdiagnosis rate of 66.7%. Conclusions Early childhood clinical manifestations of respiratory infection complicated with intussusception no more characteristic, high misdiagnosis rate, the need for clinical attention, for the suspected cases should be carefully examined, the close observation of the progress of the disease, in time to do anus and diagnostic air enema to help Clinic