Beasley S W, Glover J
Department of Surgery, Royal Children's Hospital, Parkville, Australia.
J Pediatr Surg. 1992 Apr;27(4):474-5. doi: 10.1016/0022-3468(92)90341-4.
Gas has replaced barium as the preferred medium for enema reduction of intussusception in tertiary pediatric institutions. Previously, adverse clinical features that in combination predicted a low likelihood of successful reduction using barium had been identified and used to select patients suitable for attempted enema reduction. This study examines whether these adverse features are equally applicable to gas reduction of intussusception. For any given number of adverse features, gas enema reduction was found more likely to be successful than barium reduction and, in the absence of clinical evidence of peritonitis, multiple adverse features probably do not represent a contraindication to attempted gas enema reduction.
在三级儿科机构中，气体已取代钡剂成为肠套叠灌肠复位的首选介质。此前，已识别出一些联合起来预示使用钡剂成功复位可能性较低的不良临床特征，并用于选择适合尝试灌肠复位的患者。本研究探讨这些不良特征是否同样适用于肠套叠的气体复位。对于任何给定数量的不良特征，发现气体灌肠复位比钡剂复位更有可能成功，并且在没有腹膜炎临床证据的情况下，多个不良特征可能并不代表尝试气体灌肠复位的禁忌证。
