CHANGES IN THE PRESENTATION OF INTUSSUSCEPTION

被引：14

作者：

LUKS, FI

YAZBECK, S

PERREAULT, G

DESJARDINS, JG

机构：

[1] Department of Surgery, Hôpital Sainte-Justine, University of Montréal, Montréal, Que.

[2] Department of Radiology, Hôpital Sainte-Justine, University of Montréal, Montréal, Que.

来源：

AMERICAN JOURNAL OF EMERGENCY MEDICINE | 1992年 / 10卷 / 06期

关键词：

INTUSSUSCEPTION; INTESTINAL OBSTRUCTION;

D O I：

10.1016/0735-6757(92)90188-4

中图分类号：

R4 [临床医学];

学科分类号：

1002 ; 100602 ;

摘要：

Intussusception is most often diagnosed in well-nourished 7- to 10-month-old infants, but may be overlooked in older children. From 1985 to 1991, we treated 118 boys and 62 girls ranging in age from 2 months to 15 years (average, 22.6 months). Thirty-seven percent were older than 2 years, significantly more than in earlier experience at this institution. Overall, children with intussusception had a less than average weight (P < .05). The majority of intussusceptions in all age groups were idiopathic. Seventy-three percent of the patients were treated successfully by barium enema. The presence of air-fluid levels on the plain radiograph decreased the success rate of barium enema reduction from 81% to 49%. Barium enema reduction should nevertheless be attempted regardiess of the age of the patient or the duration of symptoms, and routine surgical exploration is never recommended. (Am J Emerg Med 1992;10:574-576. © 1992.

引用

页码：574 / 576

页数：3

共 19 条

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