Rydning A, Søreide J A, Berget M, Hylland A
Kirurgisk avdeling, Sentralsjukehuset i Rogaland, Stavanger.
Tidsskr Nor Laegeforen. 1998 Aug 30;118(20):3117-9.
Although rare, childhood intussusception is one of the most common causes of small bowel obstruction in infancy. In these very young patients it can sometimes be difficult to interpret the clinical signs and symptoms correctly. This retrospective study comprises 79 children (median age 7.5 months; 24% girls and 76% boys) who experienced 83 episodes of intussusception. At admission the diagnosis made by the referring physicians could be confirmed in only about one-third of the cases. A barium enema was part of the inhospital diagnostic process. Non-operative treatment was attempted in 70 patients (89%), and barium enema reduction was successful in 64%. Laparotomy was required in 33 (42%) of the patients. No mortality, bowel perforation, or any other major complications were encountered. The diagnosis of childhood intussusception seems difficult to achieve in many cases, and the interpretation of, at times vague clinical signs and symptoms remains a challenge for all clinicians who are involved in the care of these very young patients.
尽管儿童肠套叠较为罕见，但却是婴儿期小肠梗阻最常见的病因之一。对于这些年幼的患者，有时很难正确解读其临床体征和症状。这项回顾性研究纳入了79例经历过83次肠套叠发作的儿童（中位年龄7.5个月；女孩占24%，男孩占76%）。入院时，转诊医生做出的诊断仅在约三分之一的病例中得到证实。钡剂灌肠是住院诊断过程的一部分。70例患者（89%）尝试了非手术治疗，其中钡剂灌肠复位成功的比例为64%。33例（42%）患者需要进行剖腹手术。未出现死亡、肠穿孔或任何其他严重并发症。在许多情况下，儿童肠套叠的诊断似乎很难实现，对于所有参与照料这些年幼患者的临床医生而言，解读有时模糊不清的临床体征和症状仍然是一项挑战。
