摘要
目的分析急性肠套叠空气灌肠致肠穿孔的临床和X射线表现,以尽可能减少肠穿孔的发生。方法选取1645例肠套叠患儿,其中男性950例,女性695例;年龄2个月至7岁,平均年龄3.6岁。经空气灌肠复位后,有6例患儿肠套叠空气灌肠致肠穿孔,其中男性4例,女性2例,年龄3~32个月,平均年龄为17.5个月;对其临床症状、X射线表现及手术情况进行回顾性分析,总结肠穿孔发生的病因。结果 6例均有阵发性哭闹、腹痛、呕吐及血便等临床表现。4例首次整复出现肠穿孔,2例再次灌肠出现肠穿孔,X射线表现气腹。手术治疗回结型4例,回回结型2例,6例回肠末端及结肠局部均见不同程度缺血坏死。结论提高肠套叠的认识,注意空气灌肠的适应证及操作方法可降低肠穿孔的发生。
Objective To analyze the clinical and X-ray features of enterobrosis caused by air enema,and reduce the occurrence of enterobrosis.Methods A total of 1 645 children with enterobrosis were enrolled,male 950,female 695,aged 2 months to 7 years old,mean age 3.6 years old.Six of them were enterobrosis by intussusceptions air enema,male 4,female 2,aged 3-32 months,mean age 17.5 months.The clinical symptoms,X-ray performance and surgical were retrospective analyzed,and the cause of intestinal perforation was concluded.Results There were crying,bellyache,vomit and bloody stools in all 6 cases,emerged enterobrosis in 4 cases in the first time and 2 others in the second time,X-ray showed pneumoperitoneum.There were 4 cases with ileum-colon intussusceptions,2 cases with ileum-ileum-colon intussusceptions and all with necrosis in the end of ileum certified by surgical operation and pathology.Conclusion It is demonstrated that the occurrence of enterobrosis could be reduced by knowing more about intussusceptions and do correctly to these cases with indications.
出处
《生物医学工程与临床》
CAS
2011年第5期443-445,共3页
Biomedical Engineering and Clinical Medicine
关键词
肠穿孔
肠套叠
空气灌肠
X射线摄影
enterobrosis
intussusceptions
air enema
X-ray tomography
