Mangete E D, Allison A B
Department of Surgery, University of Port Harcourt Teaching Hospital, Nigeria.
West Afr J Med. 1994 Apr-Jun;13(2):87-90.
A retrospective study of 69 cases of intususception treated at the University of Port Harcourt Teaching Hospital, Port Harcourt in the past seven years from October, 1985 to September, 1992 is presented. The diagnosis was made clinically and confirmed at operation. Fifty (72.5%) of the 69 patients belonged to the three to nine month age group. There was a male preponderance; male to female ratio 3.6:1. The classic triad of abdominal pain, rectal bleeding and abdominal mass occurred in only 11 patients (15.9%). All 69 patients had laparotomy as reduction using barium enema was not attempted. Of the 35 patients who required resection 27 (77.1%) had gangrenous bowel and 2 (2.8%) had perforation as well. Mortality was 11.6%. The high mortality rate appears to be related to the long interval between onset of symptoms and commencement of definitive treatment.
本文对1985年10月至1992年9月过去七年里在哈科特港大学教学医院接受治疗的69例肠套叠病例进行了回顾性研究。诊断通过临床做出，并在手术中得到证实。69例患者中有50例（72.5%）属于3至9个月龄组。男性居多，男女比例为3.6:1。仅11例患者（15.9%）出现腹痛、直肠出血和腹部肿块的典型三联征。69例患者均接受了剖腹手术，因为未尝试使用钡剂灌肠复位。在35例需要切除的患者中，27例（77.1%）有坏疽性肠段，2例（2.8%）同时有穿孔。死亡率为11.6%。高死亡率似乎与症状出现至确定性治疗开始之间的间隔时间长有关。
