Bouckaert J, Barillari A, Van Renterghem E
Algemeen Ziekenhuis Maria-Middelares, Gent.
Acta Chir Belg. 1990 Sep-Oct;90(5):221-7.
The authors describe several cases of intussusception in children and one in an adult, paying attention to the underlying pathology, also in children. This must be kept in mind at the radiological examination (so called "leading points") and at the operation. Different causes are Meckel's diverticulum, ectopic pancreatic tissue, tumours. Air insufflation (= chinese method) could be safer and in case of perforation it would be less dangerous. Surgery shall be undertaken in late diagnosis, difficult or impossible reductions by enema and signs of perforation or peritonitis.
作者描述了几例儿童肠套叠病例以及一例成人肠套叠病例,并关注了潜在病理情况,儿童的情况也是如此。在放射学检查(即所谓的“引导点”)和手术时都必须牢记这一点。不同的病因包括梅克尔憩室、异位胰腺组织、肿瘤。空气灌肠(=中国方法)可能更安全,万一发生穿孔,危险性也较小。在诊断较晚、灌肠复位困难或无法复位以及出现穿孔或腹膜炎迹象时应进行手术。