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儿童肠套叠:十年回顾

Intussusception in children: a ten year review.

作者信息

Gudeta B

机构信息

Ethio-Swedish Children's Hospital, Department of Paediatrics and Childhealth, Faculty of Medicine, Addis Ababa, Ethiopia.

出版信息

East Afr Med J. 1993 Nov;70(11):730-1.

PMID:8033778
Abstract

Sixty six cases of intussusception were admitted to ESCH, Addis Ababa over a 10 year period. Males dominated in the series. Age distribution showed that 69.7% of the cases were < or = 1 year old, and 85% were < or = 2 years old. Abdominal pain, vomiting, bloody mucoid diarrhoea and mass palpated abdominally and/or rectally were the commonest modes of presentations. Intussusception occurred more often in well nourished children, but was rare in severely malnourished ones. An underlying intestinal pathology was found in two cases only. The mortality was high probably because the majority of cases presented late for medical attention. The need for early medical advice, diagnosis and intervention should reduce the mortality.

摘要

在10年期间,亚的斯亚贝巴的埃施医院收治了66例肠套叠病例。该系列病例中男性居多。年龄分布显示,69.7%的病例年龄小于或等于1岁,85%的病例年龄小于或等于2岁。腹痛、呕吐、血性黏液便以及腹部和/或直肠触及肿块是最常见的临床表现。肠套叠在营养良好的儿童中更常见,但在严重营养不良的儿童中很少见。仅在两例病例中发现了潜在的肠道病变。死亡率很高,可能是因为大多数病例就诊较晚。早期寻求医疗建议、诊断和干预的必要性应能降低死亡率。

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