CAJ | 학술논문

目的探讨过敏性紫癜合并肠套叠的临床特点及外科治疗方法。方法回顾性分析本院自2006年1月至2013年6月收治的19例过敏性紫癜合并肠套叠患儿的临床资料。结果19例中，空气灌肠复位成功4例，15例行手术治疗，手术整复4例，肠坏死11例，其中行肠吻合7例，肠造瘘4例。结论肠套叠病程在6 h 内者，行空气灌肠治疗是可行、有效的；发病时间在24 h 后者，应及时手术干预。
목적탐토과민성자전합병장투첩적림상특점급외과치료방법。방법회고성분석본원자2006년1월지2013년6월수치적19례과민성자전합병장투첩환인적림상자료。결과19례중，공기관장복위성공4례，15례행수술치료，수술정복4례，장배사11례，기중행장문합7례，장조루4례。결론장투첩병정재6 h 내자，행공기관장치료시가행、유효적；발병시간재24 h 후자，응급시수술간예。
Objetive To study the clinical features and explore the surgical therapy of Henoch -Schon-lein purpura with acute intussusception in children.Methods A retrospective review was made on the clinical datas of 19 cases of Henoch-Schonlein purpura with acute intussusception in children who had hospitalized in our hospital from Jan.2006 to Jun.2013.Results 4 patients were treated by air reduction successfully,15 were treated by surgical intervention,4 underwent a manual reduction and 11 patients had a bowel resection (among which 7 underwent intestinal anastomosis and 4 intestinal fistula). Conclusion Air reduction of in-tussusception is feasible and effective within 6 hours after the onset;surgical intervention is required over 24 hours after the onset.