本文關(guān)鍵詞： 嬰兒 腸套疊 空氣灌腸　出處：《桂林醫(yī)學(xué)院》2012年碩士論文　論文類型：學(xué)位論文

【摘要】：目的規(guī)范以空氣灌腸整復(fù)方法為主的腸套疊診治過程,以提高整復(fù)成功率,并在空氣灌腸中及早判斷不能整復(fù)的情況,以盡早中轉(zhuǎn)手術(shù)治療。 方法對(duì)我院近5年來,125例嬰幼兒腸套疊的診治及X線片進(jìn)行回顧分析。分析我院空氣灌腸整復(fù)中,應(yīng)用樣本率和總體率進(jìn)行比較,x2檢驗(yàn)。 結(jié)果我院嬰幼兒腸套疊空氣灌腸整復(fù)治療成功率低于文獻(xiàn)統(tǒng)計(jì)。5例患兒在二次空氣灌腸中整復(fù)成功。大部分患兒的腹壁厚度大于1厘米,可影響手法輔助按摩操作。故在空氣灌腸整復(fù)腸套疊操作中,需要進(jìn)一步研究和改進(jìn)。 結(jié)論應(yīng)用空氣灌腸整復(fù)嬰幼兒腸套疊成功率高,操作較為簡單,并且較為安全。但仍有部分患兒空氣灌腸整復(fù)不成功,甚至出現(xiàn)腸穿孔并發(fā)癥,故應(yīng)加強(qiáng)空氣灌腸的規(guī)范性操作；并且空氣灌時(shí)采取手法輔助按摩應(yīng)慎重進(jìn)行。
[Abstract]:Objective to standardize the diagnosis and treatment of intussusception mainly by air enema in order to improve the success rate of reduction and to judge the situation of failure in air enema as early as possible so as to transfer to surgery as soon as possible. Methods the diagnosis and treatment of 125 cases of intussusception in our hospital in recent 5 years and X-ray films were retrospectively analyzed. Results the success rate of air enema in infantile intussusception in our hospital was lower than that in the literature. It can affect the manipulation of massage. Therefore, it needs further study and improvement in the operation of air enema for intussusception reduction. Conclusion Air enema has a high success rate, simple operation and safety in infantile intussusception, but there are still some children who are not successful in air enema and even have complications of intestinal perforation. Therefore, the normative operation of air enema should be strengthened, and the manual assisted massage should be carefully carried out.
【學(xué)位授予單位】：桂林醫(yī)學(xué)院
【學(xué)位級(jí)別】：碩士
【學(xué)位授予年份】：2012
【分類號(hào)】：R726.5

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