498例急性肠套叠手术中,肠坏死147例(29.51%).复套高达68.03%(100例),发现器质性病变23例(15.65%).74例发病至手术时间在48小时内,肠管已坏死.强调早期肠坏死的可能性,采用非手术治疗时应极其慎重.对其发病特点、临床表现和手术方式进行分析讨论.本组治愈144例(97.96%),死亡3例(2.04%).%From Jan.of 1980 to Dec.of 1990,147 int estinal necrosis were found among 498 operations for acute intussusception.Sixtyeight percent of cases (100/147) were double intussusception.Organic leading points were found in 23 cases,which included 12 Meckel's diverticula,8 terminal ileal masses and 3 lymphoid hyperplasia of the ileum (one associated with Meckel's diverticulum).Fifty percent of intestinal necrosis occurred within 48 hours since the onset of symptoms.In this series,144 patients survived and 3 died.The authors emphasize that the intestinal necrosis could occur in early period.Non-operative therapeutic modalities should be made prudently for patient with intussusception in spite of a short history.The clinical characteristics of the disease and the operative procedures are also discussed in the article.
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