小儿急性肠套叠的流行病学、临床特征及治疗：病例系列。
Epidemiology, clinical characteristics, and treatment of children with acute intussusception: a case series.
机构信息
Department of Scientific Research, Cheeloo College of Medicine, Qilu Hospital, Shandong University, Qingdao, China.
Department of Pediatric Surgery, Cheeloo College of Medicine, Qilu Hospital, Shandong University, Qingdao, China.
出版信息
BMC Pediatr. 2023 Mar 30;23(1):143. doi: 10.1186/s12887-023-03961-y.
BACKGROUND
To summarize the clinical and epidemiological characteristics of acute intussusception.
METHODS
This retrospective study included pediatric patients with acute intussusception admitted to the Department of Pediatric Surgery, Qilu Hospital (Qingdao), Cheeloo College of Medicine, Shandong University, from January 2014 to December 2019.
RESULTS
A total of 402 infants/children were included (301 males and 101 females) with a mean age of 2.4 ± 1.5 years (2 months to 9 years). Thirty patients (7.5%) had a history of cold food intake, diarrhea, and upper respiratory infection before disease onset. Paroxysmal abdominal pain and crying occurred in 338 patients (84.1%). Eight patients (2.0%) had the typical triad, 167 (41.5%) had vomiting, 24 (6.0%) had bloody stools, and 273 (67.9%) had palpable abdominal mass. The average intussusception depth was 4.0 ± 1.4 cm. Air enema reduction was performed in 344 cases: 335 (97.3%) were successful. Fifty-eight patients were treated with intravenous phloroglucinol (2 mg/kg), and 53 (91.4%) were successful. Sixty-five patients suffered relapses, with a relapse rate of 16.8%.
CONCLUSIONS
Pediatric acute intussusception is common. There was no obvious etiology. The clinical manifestations are mostly atypical. Abdominal pain is the most common complaint. Air enema reduction is an effective treatment. The recurrence rate is high.
背景
总结急性肠套叠的临床和流行病学特征。
方法
本回顾性研究纳入了 2014 年 1 月至 2019 年 12 月期间在山东大学齐鲁医院小儿外科就诊的急性肠套叠患儿。
结果
共纳入 402 例婴儿/儿童（男 301 例，女 101 例），平均年龄为 2.4±1.5 岁（2 个月至 9 岁）。30 例（7.5%）在发病前有冷食摄入、腹泻和上呼吸道感染史。338 例（84.1%）出现阵发性腹痛和哭闹。8 例（2.0%）具有典型三联征，167 例（41.5%）出现呕吐，24 例（6.0%）出现血便，273 例（67.9%）触及腹部肿块。肠套叠平均深度为 4.0±1.4 cm。344 例行空气灌肠复位：335 例（97.3%）成功。58 例给予间苯三酚静脉注射（2 mg/kg），53 例（91.4%）成功。65 例复发，复发率为 16.8%。
结论
小儿急性肠套叠常见，病因不明显，临床表现多不典型，腹痛最常见，空气灌肠复位是一种有效的治疗方法，复发率高。
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