頁籤選單縮合
| 題 名 | 小兒腸套疊的治療經驗--90例報告 |
|---|---|
| 作 者 | 楊美都; | 書刊名 | 中華民國外科醫學會雜誌 |
| 卷 期 | 20:6 1987.11[民76.11] |
| 頁 次 | 頁501-507 |
| 分類號 | 417.6244 |
| 關鍵詞 | 小兒腸套疊; |
| 語 文 | 中文(Chinese) |
| 中文摘要 | 榮民總醫院小兒外科自民國67年10月,與臺中分院小兒外科自71年9月,至75年4月,共治療90例小兒腸套疊。其中百分之九十以上為3處以下的兒童。男與女比例為1.9比1。陣發性哭鬧腹痛,嘔吐及血便為常見的症狀。腹部可摸到腫塊者占62.2%(56例)。確定診斷及治療仍以鋇劑灌腸攝影與復位為主。71例接受灌腸腹位者。僅21例成功(29.6%)。失敗因素大多由於家屬延誤。或復位前給藥不當所致。手術治療共68例(75.6%),其中以徒手復位成功者有48例。13例接受局部腸切除及吻合術,2例施行右側半結腸切除術及迴腸、結腸造瘻術,另有5例於剖腹探查時已自然復位。全部手術併發症為5.9%(4/68)。手術死亡卒為1.5%(1/68)。有導引點存在者10例。占11.1%(10/90)。不論經由鋇劑灌腸復位或手術治療的病患,全無復發情形。 |
| 英文摘要 | Intussusception is not unusual in acute abdomen in children. A retrospective study of the clinical features and management of 90 consecutive cases treated at the Veterans General Hospita1 Taipei and her Taichung branch is presented. Over 90% of the patients were less than 3 years old. The sex ratio of male and female was 1.9: 1. Periodic crying associated with abdominal pain, vomiting and bloody stool were the three common symptoms. Abdominal mass was palpated in 62% (56 cases). Barium enema is the most important method for diagnosis and management of pediatric intussusception. Hydrostatic reduction was successful in 21 out of 71 cases (29.6%). Failure of barium reduction was mostly due to delayed diagnosis and inadequate premedication. Manual reduction was successful in 48 out of 68 surgical cases. Gangrenous bowel was found in 15 patients, 13 of them received segmental resection of the small intestine with end-toend anastomosis and 2 received right hemicolectomy, ileostomy and colostomy. Spontaneous reduction was found in 5 patients. The overall surgical complications were 5.9%(4/68) and the operative mortallty was 1.5%(1/68). Leading points were seen in 10 patients (11.1%).There was no recurrence m our senes. |
本系統中英文摘要資訊取自各篇刊載內容。