Acute intussusception in children is not a typical misdiagnosis of 24 cases.docVIP

 PAGE \* MERGEFORMAT 4 Acute intussusception in children is not a typical misdiagnosis of 24 cases Study: Song Lianhua, Zhang Juxiang, Su Yusen [Keywords:] intussusception, acute, pediatric, diagnostic Intussusception in infants and young children during one of the most common acute abdomen, 2 years and then gradually decreased. Not typical, especially in early diagnosis of intussusception is difficult to misdiagnosis and missed diagnosis and delay treatment. Now our hospital over the past decade Misdiagnosis of 24 cases of intussusception in early to do an analysis of the reasons. 1 Clinical data 1.1 General information on the 24 cases, 16 males and 8 females, male: female = 2:1. Aged 6 months to 1 year 12 cases, 1 to 2 years and 8 cases, 2 to 4 years in 4 cases, the average 1.5 years old. Clinical manifestations of hyperthyroidism bowel sounds 1.2 in 14 cases, 19 cases of abdominal pain, vomiting in 7 cases, 7 cases of blood in the stool, abdominal mass in 5 cases, 5 cases of listlessness, fever in 3 cases. 1.3 The treatment time 3 ~ 8 h 15 例, 8 ~ 12 h 6 例, 12 ~ 24 h 2 cases, 1 to 2 days in 1 case. 1.4 hours after the onset of diagnosis of 15 cases within 24 h, 24 ~ 48 h in 7 patients, 48 #8203;#8203;h or more in 2 cases. 1.5 misdiagnosis of acute viral enteritis disease in 11 cases, 6 cases of bacillary dysentery, acute necrotizing enteritis in 3 cases, 3 cases of upper respiratory tract infection, viral encephalitis, 1 case. 2 Discussion Intussusception is a part of the set into the adjacent bowel and mesentery due to a strangulated intestinal obstruction. Intussusception of the cause is not yet clear, but more for the primary, only 5% were secondary. Infant Children ileocecal not fixed, free to spend big is prone primary factor in intussusception. recently reported with HIV infection. the pathogenesis of the motility disorders, intestinal spasm, set into the distal bowel proximal the intestine, the final set into the bowel