Pruksananonda Prasong, Athirakul Krairerk, Worawattanakul Mingmuang, Varavithya Wandee, Pisithpun Ampai, Kitayaporn Dwip, Anuras Sinn
Bumrungrad International Hospital, Bangkok, Thailand.
Southeast Asian J Trop Med Public Health. 2007 Mar;38(2):339-42.
This was a retrospective case series study of patients with intussusception at a private tertiary-care hospital in Bangkok, Thailand. The computerized hospital records of all 94 children aged 0-14 years diagnosed with intussusception from 2000 to 2005 were reviewed. About half (51.1%) were males, 23.4% were less than 1 year old. Most (78.7%) were Thai nationals. The highest case frequency was in August (n=12, Poisson means = 7.8, 95% confidence interval 6.3-9.6). Of these, none had the classical triad of vomiting, colicky pain, and mucous bloody stools. Only 12.8% had fever; abdominal mass was detected in 4.3%, and 4.3% had increased bowel sounds, while 34.0% had no specific signs. The most frequent site of intussusception was the ileocolic (62.6%). Stool cultures for bacteria and stool for rotavirus antigen obtained in some cases revealed no significant findings. Of the cases, 10 (10.6%) had spontaneous reduction, 84 (89.4%) underwent barium enema intervention, 10 of the latter (11.9%) required further surgical intervention. There were no mortalities during the observation period. There were 10 recurrent events in this series. The 7-day recurrence-free probability was 84.9% (95% CI 49.2, 96.3%). This study provides baseline data regarding intussusception in Thailand which may be useful for future epidemiological and/or clinical studies.
这是一项针对泰国曼谷一家私立三级护理医院肠套叠患者的回顾性病例系列研究。回顾了2000年至2005年期间在该院确诊的所有94例0至14岁肠套叠儿童的计算机化医院记录。约一半（51.1%）为男性，23.4%年龄小于1岁。大多数（78.7%）为泰国国民。病例发生频率最高的月份是8月（n = 12，泊松均值 = 7.8，95%置信区间6.3 - 9.6）。其中，无人出现呕吐、绞痛和黏液血便这一典型三联征。仅有12.8%的患者发热；4.3%可触及腹部肿块，4.3%肠鸣音增强，而34.0%无特异性体征。肠套叠最常见的部位是回结肠（62.6%）。部分病例进行的细菌粪便培养和轮状病毒抗原粪便检测未发现显著结果。在这些病例中，10例（10.6%）自行复位，84例（89.4%）接受了钡剂灌肠干预，其中10例（11.9%）需要进一步手术干预。观察期内无死亡病例。本系列中有10例复发事件。7天无复发概率为84.9%（95%置信区间49.2，96.3%）。本研究提供了泰国肠套叠的基线数据，可能对未来的流行病学和/或临床研究有用。
