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肠套叠的假性复位:回肠反流是终点吗?

Pseudoreduction of intussusception: is ileal reflux the end point?

作者信息

Fitch S J, Magill H L, Benator R M, Parvey L S, Hixson S D

出版信息

Gastrointest Radiol. 1985;10(2):181-3. doi: 10.1007/BF01893098.

DOI:10.1007/BF01893098
PMID:3996835
Abstract

Two cases of unsuccessful hydrostatic reduction of intussusception are reported. Both were associated with barium filling multiple loops of distal ileum, despite lack of complete reduction of the intussusception. The presence of free ileal reflux does not guarantee successful reduction. Careful examination of the cecum for residual intussusceptum and of non-contrast-filled small-bowel loops for evidence of remaining small-bowel obstruction is essential to recognize unsuccessful reduction.

摘要

报告了两例肠套叠水压复位失败的病例。尽管肠套叠未完全复位,但两例均伴有钡剂充盈远端回肠的多个肠袢。游离回肠反流的存在并不能保证复位成功。仔细检查盲肠有无残留套入部,以及未用造影剂充盈的小肠肠袢有无残留小肠梗阻的迹象,对于识别复位失败至关重要。

相似文献

1
Pseudoreduction of intussusception: is ileal reflux the end point?肠套叠的假性复位:回肠反流是终点吗?
Gastrointest Radiol. 1985;10(2):181-3. doi: 10.1007/BF01893098.
2
Childhood intussusception: ultrasound-guided Hartmann's solution hydrostatic reduction or barium enema reduction?儿童肠套叠:超声引导下哈特曼溶液水压灌肠复位还是钡剂灌肠复位?
J Pediatr Surg. 1997 Jan;32(1):3-6. doi: 10.1016/s0022-3468(97)90079-8.
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Indications for laparotomy after hydrostatic reduction for intussusception.肠套叠水压复位术后剖腹手术的指征。
J Pediatr Surg. 1993 Sep;28(9):1154-7. doi: 10.1016/0022-3468(93)90153-c.
4
Childhood intussusception.儿童肠套叠
Surg Gynecol Obstet. 1990 Aug;171(2):151-3.
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Intussusception: barium or air?肠套叠:钡剂还是空气?
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An analysis of bowel perforation in patients with intussusception.肠套叠患者肠穿孔的分析。
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Hydrostatic reduction of intussusceptions caused by lead points.由铅点引起的肠套叠的水压复位法。
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8
Intussusception: the case for barium reduction.肠套叠:钡剂灌肠复位的情况
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Colon perforation during attempted barium enema reduction of intussusception.在尝试通过钡剂灌肠复位肠套叠过程中发生的结肠穿孔。
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Ileocolic intussusception: extensive reflux of air preceding pneumatic reduction.回结肠套叠:空气灌肠复位前广泛的空气反流。
Radiology. 1990 Jan;174(1):187-9. doi: 10.1148/radiology.174.1.2294546.

引用本文的文献

1
Childhood deaths from intussusception in England and Wales, 1984-9.1984 - 199年英格兰和威尔士因肠套叠导致的儿童死亡情况。
BMJ. 1992 Mar 21;304(6829):737-9. doi: 10.1136/bmj.304.6829.737.
2
Effectiveness of pneumatic reduction of ileocolic intussusception in children.
Gastrointest Radiol. 1992 Fall;17(4):339-43. doi: 10.1007/BF01888583.

本文引用的文献

1
Childhood intussusception: hydrostatic reducibility and incidence of leading points in different age groups.
Pediatr Radiol. 1980 Nov;10(2):83-6. doi: 10.1007/BF01001744.
2
Post-evacuation findings in barium enema treated intussusceptions.钡灌肠治疗肠套叠后撤离时的发现。
Ann Radiol (Paris). 1976 Jan-Feb;19(1):133-9.
3
Ten years' experience in the management of intussusception in infants and children by hydrostatic reduction.十年小儿肠套叠水压灌肠复位治疗经验。
Can Med Assoc J. 1978 Nov 4;119(9):1075-6.