Moss K
Alaska Med. 1991 Jul-Sep;33(3):113-4.
A case of intussusception in a 6 month old with lethargy as the initial and predominant system is presented. Children presented to the Emergency Department with otherwise unexplained lethargy should have intussusception as part of the differential diagnosis. A plain film of the abdomen should be obtained. A rectal exam should be done, and a stool checked for occult blood. Radiologic and surgical consultation should be sought simultaneously. Delay in diagnosis and treatment may be associated with decreased success rates of reduction by barium enema, and increased rates of complications of perforation, peritonitis, sepsis, and death.
本文介绍了一例6个月大的肠套叠患儿，最初主要症状为嗜睡。因不明原因嗜睡就诊于急诊科的儿童，应将肠套叠纳入鉴别诊断。应进行腹部平片检查。应进行直肠检查，并检查粪便潜血。应同时寻求放射科和外科会诊。诊断和治疗的延迟可能与钡灌肠复位成功率降低以及穿孔、腹膜炎、败血症和死亡等并发症发生率增加有关。
