目的：探讨小儿急性肠套叠运用空气灌肠整复的价值。方法分析181例小儿急性肠套叠运用空气灌肠整复的临床资料。空气灌肠181例，经检查后诊断：回结型肠套叠146例回结型套叠28例，结结型套叠6例；未见肠套叠1例；空气灌肠整复肠套叠180例，成功复位162例，复位失败改用手术治疗18例，复位成功率达90％。结果对临床确诊或疑似小儿肠套叠应尽早进行空气灌肠进一步确诊并进行加压整复复位，解除套叠状态，最大限度避免肠梗阻及肠管坏死等严重并发症。结论约90％小儿急性肠套叠可通过空气灌肠进行整复复位；空气灌肠整复是一种安全、简便、有效的非手术治疗方法。%Objective To investigate the use of air enema in children with acute intussusception use the entire complex value.Materials and. Methods Analyzed 181 cases of acute intussusception in children using air enema entire complex clinical data. Of air enema 181 cases,after diagnosis,ileum-junction 146 cases of intussusception,ileum-ileum-28 cases of colon intussusception,colon-colonic intussusception six cases,one case no intussusception,air enema entire complex 180 cases of intussusception,162 cases successfully reset,reset switch failure and 18 cases of surgical treatment,reset success rate of 90%. Results Clinically diagnosed or suspected intussusception in children should try to make an early diagnosis and air enema further pressurize the entire complex reset,lift overlay status,the maximum to avoid serious complications such as intestinal obstruction and bowel necrosis. Conclusion About 90% of children with acute intussusception entire complex can be reset by air enema;air enema entire complex is a safe,simple and effective non-surgical treatment.
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