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小儿急性肠套叠是小儿外科常见急腹症,占肠套叠总数的88％,其中约有75％～90％病例为2岁以下婴幼儿,男比女多2～3倍,大多为原发。发病原因大多用痉挛学说解释,即小儿的肠蠕动功能发生紊乱痉挛;近年来发现约有50％的病例系病毒感染所致。诊断依据有腹痛、腹内包块、果酱样血便,随着肠梗阻发生发展程度不同,哎吐、腹胀、发热及休克等症状亦有轻重不同之分。治疗方法通常有X线下钡剂、空气或氧气灌肠治疗以及手术治疗两种力法。我院自1995年6月至1999年6月,在B超引导下用生理盐水灌肠治疗小儿急性肠套叠取得满意效果,现介绍如下。
Acute intussusception in children is a common acute abdomen pediatric surgery, accounting for 88% of the total number of intussusception, of which about 75% to 90% of cases less than 2 years old infants and young children, 2 to 3 times more men than women, mostly of the original hair. Most of the causes of spasticity explained that the theory of pediatric peristalsis disorder occurs spasm; in recent years about 50% of cases found to be caused by viral infection. The diagnosis is based on abdominal pain, abdominal mass, jam-like bloody stools, intestinal obstruction with different levels of development, hey vomiting, bloating, fever and shock and other symptoms are also different points. The treatment is usually X-ray barium, air or oxygen enema treatment and surgical treatment of two force method. Our hospital from June 1995 to June 1999, under the guidance of B ultrasound with saline enema in children with acute intussusception achieved satisfactory results are as follows.