全麻下遥控灌肠整复仪空气灌肠必要时手法辅助复位治疗小儿肠套叠疗效观察.pdfVIP

2011 年第 27 卷第5 期 包头医学院学报 Vo1. 27 吁。 5 2011 JOUR;1AL OF BAOTOU 岛1EDICAL COLLEGE 27 全麻下遥控灌肠整复仪空气灌肠必要时手法 辅助复位治疗小儿肠套叠疗效观察 邓成清蔚爱群张 J平朱海洋 (射阳县人民医院，江苏射fU 224300) 摘要 目的探讨全麻下遥控道炀整复仪空气灌肠必要时手法辅助复位治疗小儿肠套叠疗效。方法搜集 2 日创 -2却01ω0 年有完整随访资料的肠套叠忠者 15到0 例所有患者均经 X 线或 B 超诊断为肠套叠均在全麻 f;遥屋控1灌在肠整 重仪空气灌肠整复，必必、要时手法辅助复位治疗 结果 15到o 例fR刊1 忠儿巾 3到8 例需于法辅助复位， 14X 例整复成矿功U ， 其中 2 例 4峭~ h 内宣套 肠整重仪空气灌肠有利于灌肠压力控制，可缩短整复曝光时间，减少患儿及放射工作人员的放射线损伤，必要时于法辅 助复位治疗可提高整复成功率内 关键词 小儿，肠套叠，空气灌肠，全麻:穰肠整复仪:于洼辅助 An Cnrative Observation on Air Enema for Reduction of Intussusception in Children under General An四thesia with Remote - control Enema Apparatus Ai ded with Manual Reduclion at Need DENG Chengqing , TANG Aiqun , ZHANG Ping , et 01 (Depa巾 tent of R(uiiologr , Sheyang County Pcop岛s Ho.甲ital ， Shangyang 224300 ， ι古山α) Ab、，tract Ohjective: To assess the curatÎve effect of air enema for reduct】 οn of intussusception iu children under general alleslhe~ja with remote - control enema apparatus aided with manual reduction at nced. Mcthods: Complete follow - up survey da- la of 150 cases of tntussllsception in children were collected from 2006102010 , all of hom \;ere diagnosed as inlussusception Ihrough X or thc u1 trasound diagnosis alld undcn...enlωr enema reduction of 皿lU F; SllscepllOIl with remote - control enema apparatus aided with manual reduction at need. Re四lts: Of 150 c剖es of children intu,;suscf ption , 38 cases needed manual reduction , 148 cases got succe哺ful reduction , 2 cases gQt ~heäthed again wlthin 48 hOUTS , i\;thout sheathing after the sccond reduction , 2 case鸣 failcd. Conclusion: AÎr enema