Etiological analysis of 317 cases of intussusception in children and early diagnosis of.docVIP

 PAGE \* MERGEFORMAT 9 Etiological analysis of 317 cases of intussusception in children and early diagnosis of Acute Intussusception is the most common diseases in children, is also easy to misdiagnosis and delayed intestinal obstruction in children the first disease. Many are the first in several medical intussusception hospitalization, treatment, progression-free remission was followed by the typical symptoms of intussusception, please surgical consultation before transferring to Division therapy. How early diagnosis and prompt treatment, not only children need to pediatric clinicians are familiar with the clinical signs and symptoms of intussusception, but also pediatric clinicians to understand the cause of intussusception, and so in order to achieve early diagnosis and early treatment. Now as follows. A clinical data Our hospital from 1988 to 2005 a total of 317 cases of acute intussusception in children treated, male 218 cases, female 99 cases, male to female ratio of 2.2:1. The youngest is 3 months, maximum of 2 years 4 months. 6 months there were 241 cases, accounting for 76.0%; one over the age of 36 cases, accounting for 11.4%. Course of the disease in 105 cases within 24h, accounting for 33.1%;gt; 48h 94 cases, accounting for 29.7%. Necrotic bowel perforation in 5 cases, accounting for 1.6%. 7 cases of intussusception secondary, both intestinal malformations, accounting for 2.2%. 310 cases of primary intussusception, of which 213 cases of enema reduction, reduction rate was 67.2%. Reduction surgery in 104 cases, including bowel resection and anastomosis in 8 cases, accounting for 2.5%; appendectomy 4 cases, accounting for 1.3%. Is illustrated in table 1 ~ 3. Table 1 Primary causes of 310 cases of intussusception Of which 228 cases of obesity in children, accounting for 73.5%; artificial feeding 193 cases, accounting for 62.3%. Table 2 Secondary causes of intussusception in seven cases (all s