本文選題：兒童　切入點(diǎn)：繼發(fā)性腸套疊　出處：《重慶醫(yī)科大學(xué)》2013年碩士論文

【摘要】：目的：探討大于3歲兒童繼發(fā)性腸套疊的臨床特點(diǎn)和發(fā)病原因，提高兒童腸套疊的診治水平。 資料與方法：回顧性總結(jié)重慶醫(yī)科大學(xué)附屬兒童醫(yī)院2001-2011收治的大于3歲兒童繼發(fā)性腸套疊82例，分析其臨床表現(xiàn)、發(fā)病原因及診療情況。 結(jié)果：82例患兒腹痛80例，嘔吐56例，血便34例，腹部捫及包塊31例。79例行超聲檢查，75例確診，準(zhǔn)確率94.9%。82例中過(guò)敏性紫癜48例（58.8%），，腸息肉9例（11.0%）、美克爾憩室7例（8.5%）、腫瘤5例（6.1%），其他13例。63例行空氣灌腸復(fù)位治療，28例復(fù)位成功，平均壓力7.7Kp。54例手術(shù)治療，術(shù)中見(jiàn)回結(jié)型18例，回回型11例，回盲型8例，空空型4例，回回結(jié)型4例，結(jié)結(jié)型4例，5例自動(dòng)復(fù)位；14例腸壞死。 結(jié)論：大于3歲兒童繼發(fā)性腸套疊比例隨年齡增加而增加，過(guò)敏性紫癜是主要繼發(fā)因素。腸套疊病程大于3d或者反復(fù)發(fā)生腸套疊者需警惕繼發(fā)性腸套疊；病程超過(guò)14d需警惕腸道腫瘤。腹部彩超是目前診斷腸套疊準(zhǔn)確率高、經(jīng)濟(jì)、安全的輔助檢查方法。兒童腸套疊繼發(fā)于過(guò)敏性紫殿時(shí)，空氣灌腸是安全、有效的治療方法。腸套疊由器質(zhì)性病變引起時(shí)，手術(shù)去除病變是主要治療手段。
[Abstract]:Objective: to investigate the clinical features and causes of secondary intussusception in children over 3 years old and to improve the diagnosis and treatment of intussusception in children.Materials and methods: 82 cases of secondary intussusception of children over 3 years old admitted to affiliated Children's Hospital of Chongqing Medical University from 2001 to 2011 were retrospectively summarized and their clinical manifestations, causes, diagnosis and treatment were analyzed.Results 80 cases of abdominal pain, 56 cases of vomiting, 34 cases of blood stool, 31 cases of abdominal palpation mass. 79 cases of abdominal palpation mass were diagnosed by ultrasonic examination.鍑嗙‘鐜

本文編號(hào)：1711502