Duncan N D, Dennis W, Reid V, West W, Venugopal S
Department of Surgery, Radiology, Anaesthesia and Intensive Care, University of the West Indies, Mona, Jamaica.
West Indian Med J. 1998 Mar;47(1):31-2.
Data were collected prospectively on 57 Jamaican children presenting with 62 episodes of acute intussusception over a two year period, for whom operative and hydrostatic methods of reduction were employed. 31 (54%) of 57 episodes were reduced successfully using barium (42), saline (11) and air (4) hydrostatically. Among the 31 other episodes, 15 had ileo-colic intussusception, seven caeco-colic, six ileo-ileo-colic and one ileo-ileal. Two patients had spontaneous reduction discovered at surgery. There were two episodes of barium hydrostatic perforation of the colon leading to death in one patient. Hydrostatic reduction is recommended as the first therapeutic option for acute intussusception because it spares the patient a major operative procedure when successful.
前瞻性收集了57名牙买加儿童的数据，这些儿童在两年期间出现了62次急性肠套叠发作，对他们采用了手术复位和水压复位方法。57次发作中有31次（54%）通过钡剂（42次）、生理盐水（11次）和空气（4次）成功进行了水压复位。在另外31次发作中，15次为回结肠型肠套叠，7次为盲结肠型，6次为回回结肠型，1次为回回型。两名患者在手术中发现有自发复位情况。有两例钡剂水压灌肠导致结肠穿孔，其中一例患者死亡。推荐水压复位作为急性肠套叠的首选治疗方法，因为成功时可避免患者进行大型手术。
