CAJ | 학술논문

目的探讨婴幼儿腹泻并发肠套叠的临床特点,提高诊治水平,减少误诊和误治.方法回顾性分析23例婴幼儿肠套叠患儿的临床资料.结果 23例患儿病初均有不同程度的腹泻症状,12例表现为呕吐、腹泻、发热等急性胃肠炎症状,5例大便为黏液脓血便,6例为大便带血.5例起病24h内确诊(其中3例经空气灌肠整复肠套叠,2例手术复位),11例24h至3d确诊并手术,7例超过3d确诊并手术.23例患儿除1例因休克抢救无效死亡外,其余22例均治愈出院.结论婴幼儿肠套叠症状不典型,病情发展快,病情危重,容易误诊,漏诊,应积极完善规范的辅助诊断,及早明确诊断,以免延误治疗.
목적 탐토영유인복사병발장투첩적림상특점,제고진치수평,감소오진화오치.방법 회고성분석23례영유인장투첩환인적림상자료.결과 23례환인병초균유불동정도적복사증상,12례표현위구토、복사、발열등급성위장염증상,5례대편위점액농혈편,6례위대편대혈.5례기병24h내학진(기중3례경공기관장정복장투첩,2례수술복위),11례24h지3d학진병수술,7례초과3d학진병수술.23례환인제1례인휴극창구무효사망외,기여22례균치유출원.결론 영유인장투첩증상불전형,병정발전쾌,병정위중,용역오진,루진,응적겁완선규범적보조진단,급조명학진단,이면연오치료.
Objective To investigate the clinical features of infantile diarrhea with intussusception,improve the level of diagnosis and treatment,reduce the misdiagnosis and delayed treatment.Methods The clinical data of 23 cases with infantile intussusception were retrospectively analyzed.Results Twenty-three cases of children with diarrhea symptoms at the beginning of the disease had different degree,12 cases characterized by vomiting,diarrhea,fever and other symptoms of acute gastroenteritis,5 cases stool were mucous pus blood,6 cases for blood in the stool.Five cases were confirmed within 24 h of the diagnosis (3 cases with air enema reduction of intussusception,2 cases with manual reduction),11 cases were confirmed at 24 h to 3 d of the diagnosis and operated,7 cases were confirmed more than 3 d of the diagnosis and operated.Except 1 cases was died from shock,22 cases were cured.Conclusion Infantile intussusception atypical symptoms,illness development is rapid,in critical condition,easy misdiagnosis,missed diagnosis,should actively improve the standard of diagnosis.,early diagnosis,so as not to delay treatment.