背景:总结急性肠套叠的临床和流行病学特点。
方法:这项回顾性研究包括儿科外科收治的急性肠套叠患儿,齐鲁医院(青岛),Cheeloo医学院,山东大学,2014年1月至2019年12月。
结果:共纳入402名婴儿/儿童(男性301名,女性101名),平均年龄2.4±1.5岁(2个月至9岁)。30例患者(7.5%)有冷食摄入史,腹泻,发病前上呼吸道感染。338例(84.1%)患者出现阵发性腹痛和哭闹。八名病人(2.0%)有典型的三合会,167人(41.5%)出现呕吐,24人(6.0%)有血便,273例(67.9%)有明显的腹部肿块。平均肠套叠深度为4.0±1.4cm。344例进行了空气灌肠复位:335例(97.3%)成功。58例患者静脉注射间苯三酚(2mg/kg),53例(91.4%)成功。65名患者复发,复发率为16.8%。
结论:小儿急性肠套叠是常见的。无明显病因。临床表现大多不典型。腹痛是最常见的主诉。减少空气灌肠是一种有效的治疗方法。复发率高。
To summarize the clinical and epidemiological characteristics of acute intussusception.
This retrospective study included pediatric patients with acute intussusception admitted to the Department of Pediatric Surgery, Qilu Hospital (Qingdao), Cheeloo College of Medicine, Shandong University, from January 2014 to December 2019.
A total of 402 infants/children were included (301 males and 101 females) with a mean age of 2.4 ± 1.5 years (2 months to 9 years). Thirty patients (7.5%) had a history of cold food intake, diarrhea, and upper respiratory infection before disease onset. Paroxysmal abdominal pain and crying occurred in 338 patients (84.1%). Eight patients (2.0%) had the typical triad, 167 (41.5%) had vomiting, 24 (6.0%) had bloody stools, and 273 (67.9%) had palpable abdominal mass. The average intussusception depth was 4.0 ± 1.4 cm. Air
enema reduction was performed in 344 cases: 335 (97.3%) were successful. Fifty-eight patients were treated with intravenous phloroglucinol (2 mg/kg), and 53 (91.4%) were successful. Sixty-five patients suffered relapses, with a relapse rate of 16.8%.
Pediatric acute intussusception is common. There was no obvious etiology. The clinical manifestations are mostly atypical. Abdominal pain is the most common complaint. Air
enema reduction is an effective treatment. The recurrence rate is high.