Vandertuin L, Vunda A, Gehri M, Sanchez O, Hanquinet S, Gervaix A
Service d'accueil et d'urgences pédiatriques, Département de l'enfant et de l'adolescent, HUG, Genève.
Rev Med Suisse. 2011 Feb 23;7(283):451-5.
Intussusception in children is not a frequent pathology but it is important to consider when working in a paediatric emergency department due to the potential serious complications in the case that the diagnosis is not rapidly identified. The majority of cases are idiopathic and in only 10% of patients will a pathological lead point be found. One would be in error to wait for the classical triad presentation before beginning the appropriate diagnostic testing. Hence, the diagnosis of intussusception should be suspected in all children, under the age of 3 years, with acute colicky abdominal pain. In this practical review, we have included the clinical experience in intussusception seen in 2 Swiss university paediatric hospitals.
小儿肠套叠并非常见病症,但鉴于在儿科急诊科工作时若不能迅速确诊可能引发严重并发症,因此需予以重视。大多数病例为特发性,仅10%的患者能找到病理性引导点。若等待典型三联征表现出现后才开始进行适当的诊断检测,将会出现误诊。因此,对于所有3岁以下出现急性绞痛性腹痛的儿童,均应怀疑肠套叠。在本实用综述中,我们纳入了两家瑞士大学儿科医院诊治肠套叠的临床经验。