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1165例小儿急性肠套叠的临床流行病学分析 被引量:15

Epidemiology analysis of 1165 cases with child intussusception
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摘要 目的:探讨小儿急性肠套叠的临床流行病学特征,为预防和治疗小儿急性肠套叠提供理论依据。方法回顾性分析2014年本院收治的1165例急性肠套叠患儿临床资料,分析内容包括流行病学特征、诊断与治疗方法、临床疗效。结果1165例患儿年龄3个月至6岁,其中3~6个月684例(占58.71%);6个月至1岁110例(占6.44%);1至3岁192例(占16.48%);3至6岁179例(占14.60%)。体重超重108例(占9.27%);人工喂养518例(占57.94%);发病前有腹泻病史者168例(占14.42%)。临床表现为阵发性哭闹、烦躁922例(占79.08%),呕吐346例(占29.70%),排果酱样大便805例(占69.10%),腹部扪及包块841例(占72.19%);1103例超声检查阳性(占94.68%),直肠指诊阳性874例(占74.76%)。首诊确诊1128例(占96.82%);误诊37例(占3.18%)。全部患儿均经空气灌肠或手术治疗痊愈。随访3~9个月,无一例复发,无死亡病例。结论小儿肠套叠临床表现典型,年龄、体重、喂养方式,以及腹泻、上呼吸道感染等与发病有一定相关性。病程与治疗选择有一定相关性。早期诊断,早期治疗,疗效较好。 Objetive The study was purposed to analysis the clinical epidemiological characteristics of acute intussusceptions in children,and provide the theoretical foundation of prevention and treatment for acute intussusceptions.Methods 1 165 pediatric patients with acute intussusceptions were collected by a retrospec-tive study from Hunan Children′s Hospital between Jan 01 th 2014 and Dec 31 th 2014.In the study,the epide-miological characteristics,diagnosis,treatment,and clinical curative effect for acute intussusceptions were ana-lyzed.Results A total of 1 165 children have been diagnosed with acute intussusceptions,the majority of pe-diatric patients were boy (785 /1 165),ranging in age from 3 months to 6 years.Most of the cases were char-acteristic of paroxysmal crying,vomiting,abdominal mass,jam of appearance.The correlation between age, weight,feeding patterns,diarrhea,upper respiratory tract infection and acute intussusceptions has been dem-onstrated by the study.All pediatric patients were recovered by air enema and surgical treatment.There was no recurrence,no deaths by Followed up for 3 ~9 months. Conclusions Pediatric intussusception has typical clinical manifestations,and there is a typical concentric circles by ultrasound.Early diagnosis and early treat-ment can obtain satisfactory clinical effect.
机构地区 湖南省儿童医院
出处 《临床小儿外科杂志》 CAS 2015年第5期411-413,共3页 Journal of Clinical Pediatric Surgery
关键词 肠套叠 流行病学 儿童 Intussusception Epidemiology Child
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