Reijnen J A, Festen C, Joosten H J
Department of General Surgery, University Hospital St. Radboud, Nijmegen, The Netherlands.
Br J Surg. 1989 Aug;76(8):815-6. doi: 10.1002/bjs.1800760817.
Nine children presented with intussusception lasting for 14 days or more. Their mean age was 8.5 years. Diagnosis of intussusception was delayed considerably, probably due to an unusual presentation. Compared with acute intussusception, symptoms consist of infrequent attacks of abdominal pain, sporadic vomiting and no, or small, changes in defecation. Marked weight loss and an abdominal mass assume diagnostic significance, in contradiction to bloody stools. Ultrasonography can be of diagnostic value. An attempt at hydrostatic reduction is often unsuccessful. A high frequency of organic lesions precipitating intussusception warrants early surgical intervention.
9名儿童患肠套叠持续14天或更长时间。他们的平均年龄为8.5岁。肠套叠的诊断被大大延迟，可能是由于表现不寻常。与急性肠套叠相比，症状包括腹痛发作不频繁、偶发呕吐以及排便无变化或变化很小。明显体重减轻和腹部肿块具有诊断意义，这与血便不同。超声检查可能具有诊断价值。水压复位尝试通常不成功。导致肠套叠的器质性病变发生率高，需要早期手术干预。
