Adejuyigbe O, Jeje E A, Owa J A
Department of Surgery, Obafemi Awolowo University, Ile-Ife, Nigeria.
Ann Trop Paediatr. 1991;11(2):123-7. doi: 10.1080/02724936.1991.11747490.
A retrospective review of 41 intussusceptions encountered in 39 children seen over an 8-year period in Ile-Ife, Nigeria is presented. Most cases (61.5%) occurred in infancy. This contrasts with previous reports from Nigeria where intussusception has been presented as being commoner in older children. Vomiting, abdominal pain, excessive crying and passage of bloodstained stools were the main presenting symptoms. An abdominal mass was palpable in only 28.2% of patients. Generally, patients presented late in hospital with only two (5.1%) arriving within 24 hours of the onset of illness. Hydrostatic reduction with barium enema was attempted in these two patients, and it successfully reduced the intussusception in one and caused partial reduction in the other. Nineteen patients (46.3%) required bowel resection. There were nine deaths, giving a mortality rate of 23.1%. The relatively high bowel resection and mortality rates were attributed to the delay in seeking medical treatment.
本文回顾性分析了尼日利亚伊费地区8年间39名儿童发生的41例肠套叠病例。大多数病例（61.5%）发生在婴儿期。这与尼日利亚之前的报告形成对比，之前报告称肠套叠在大龄儿童中更为常见。呕吐、腹痛、哭闹不止和便血是主要的就诊症状。仅28.2%的患者可触及腹部肿块。一般来说，患者入院时病情已发展到较晚阶段，只有两名（5.1%）患者在发病24小时内就诊。对这两名患者尝试了钡剂灌肠水压复位，其中一名成功复位，另一名部分复位。19名患者（46.3%）需要进行肠切除。有9例死亡，死亡率为23.1%。相对较高的肠切除率和死亡率归因于就医延迟。
