Senocak M E, Büyükpamukçu N, Hiçsönmez A
Department of Pediatric Surgery, Hacettepe University Faculty of Medicine, Ankara.
Turk J Pediatr. 1990 Jul-Sep;32(3):197-200.
Whole bowel irrigation (WBI) was performed in 60 children aged two to 16 yrs (mean 5.1 +/- 0.5 yrs) in preparation for surgery (n: 59) and rectoscopy (n: 1). Isotonic saline (n: 43) and lactated Ringer's solutions (n: 17) were infused for irrigation. Vital signs remained stable during the procedure. Negligible electrolytic alterations were encountered. In general, WBI was well tolerated by all the patients. Two (3.3%) patients had abdominal cramps, vomiting was observed in nine (15%) and edema developed in one (16%). The results of the preparation were assessed as satisfactory in 45 cases (75%), adequate in 10 cases (16.6%) and poor in 5 cases (8.3%). Diarrhea, as a complication of saline, has not been reported previously in the literature, but was observed in 32 of our cases (74.4%), and lasted 2-5 days (mean 3.38 +/- 0.7 days) after irrigation. In addition, it is noteworthy that bile-stained intraluminal clear fluid was seen only in the patients who had been irrigated with lactated Ringer's solution. Our research related to this observation is continuing.
对60名年龄在2至16岁（平均5.1±0.5岁）的儿童进行了全肠道灌洗（WBI），用于手术准备（59例）和直肠镜检查（1例）。使用等渗盐水（43例）和乳酸林格氏液（17例）进行灌洗。手术过程中生命体征保持稳定。出现的电解质改变可忽略不计。总体而言，所有患者对WBI耐受性良好。2例（3.3%）患者出现腹部绞痛，9例（15%）出现呕吐，1例（1.6%）出现水肿。准备结果评估为满意的有45例（75%），充分的有10例（16.6%），差的有5例（8.3%）。腹泻作为盐水灌洗的并发症，此前文献中未见报道，但在我们的32例（74.4%）病例中观察到，灌洗后持续2至5天（平均3.38±0.7天）。此外，值得注意的是，仅在使用乳酸林格氏液灌洗的患者中观察到胆汁染色的肠腔内清亮液体。我们关于这一观察结果的研究仍在继续。
