Newman J, Schuh S
CMAJ. 1987 Feb 1;136(3):266-9.
Intussusception in babies under 4 months of age is uncommon. The hospital records of 25 babies under 4 months of age who were treated for intussusception between 1974 and 1983 were reviewed. There was no history of pain in nine cases. Rectal bleeding occurred in all but one of the infants. Vomiting was a prominent symptom in all but 2 infants and was the first symptom in 11. Only eight infants presented with all three symptoms. There was a high rate of failure of reduction by barium enema, even when it was attempted early. Although intussusception does occur in young infants, the clinical picture is generally different from that seen in infants aged 4 months or more.
4个月以下婴儿患肠套叠的情况并不常见。回顾了1974年至1983年间接受肠套叠治疗的25名4个月以下婴儿的医院记录。9例无疼痛病史。除1例婴儿外,所有婴儿均出现直肠出血。除2例婴儿外,呕吐是所有婴儿的突出症状,11例婴儿呕吐是首发症状。只有8例婴儿出现了所有三种症状。即使早期尝试,钡剂灌肠复位失败率也很高。虽然肠套叠确实发生在幼儿中,但临床表现通常与4个月及以上婴儿所见不同。