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婴幼儿及儿童术后肠套叠:7例报告

Postoperative intussusception in infants and children: a report of seven cases.

作者信息

Jiang Weiwei, Tang Weibing, Geng Qiming, Xu Xiaoqun

机构信息

Department of Neonatal Surgery, Nanjing Children's Hospital Affiliated with Nanjing Medical University, Nanjing, Jiangsu 210029, China.

出版信息

J Biomed Res. 2012 Jan;26(1):66-8. doi: 10.1016/S1674-8301(12)60009-8.

Abstract

Postoperative intussusception is an uncommon but serious condition in infants and children. Here, we report seven cases of postoperative intussusception in infants and children who were seen at our institution over the last 13 y. The patients showed increased nasogastric drainage, vomiting, lack of stool, and/or growing abdominal distension 2 to 9 d following abdominal surgery. Manual reduction was successful in five cases. In two cases, necrosis was found and intestinal resection and anastomosis were carried out. No recurrence was observed at six months of follow-up. Postoperative intussusception should be suspected in pediatric surgical patients who showed signs of intestinal obstruction in the early postoperative period.

摘要

术后肠套叠在婴幼儿中虽不常见但病情严重。在此,我们报告过去13年在我院诊治的7例婴幼儿术后肠套叠病例。这些患儿在腹部手术后2至9天出现鼻胃管引流增加、呕吐、无大便和/或腹部逐渐膨隆。5例手法复位成功。2例发现肠坏死,行肠切除吻合术。随访6个月无复发。对于术后早期出现肠梗阻迹象的小儿外科患者,应怀疑有术后肠套叠。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4831/3596082/d8f488476174/jbr-26-01-066-g001.jpg

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