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肠套叠

最后审阅: 1 Nov 2024
最后更新: 07 Apr 2022

小结

定义

病史和体格检查

关键诊断因素

  • 存在的危险因素
  • 男性
  • 6 至 12 月龄
  • 腹部绞痛
  • 呕吐
  • 在阵发性疼痛之间昏睡/易激惹
  • 便血/红果酱样血便
  • 低血容量休克
完整详情

其他诊断因素

  • 苍白
  • 可触及腹部包块
  • 饮食不佳
  • 腹胀
完整详情

危险因素

  • 男性
  • 6 至 12 月龄
  • 前期病毒性疾病
  • 季节性变异
  • 第一代轮状病毒疫苗接种
完整详情

诊断性检查

首要检查

  • 超声
  • 腹部平片
  • 诊断灌肠
完整详情

需考虑的检查

  • 腹部 CT
完整详情

治疗流程

急症处理

临床稳定,无造影剂灌肠复位术禁忌证

造影剂灌肠复位术禁忌证和/或临床不稳定(例如:休克、怀疑穿孔、腹膜炎、肠壁坏死证据)

持续性治疗

复发

撰稿人

作者

Jonathan Sutcliffe, MD

Consultant Paediatric Surgeon

Leeds General Infirmary

Leeds

UK

利益声明

JRS declares that he has no competing interests.

鸣谢

Dr Jonathan Sutcliffe would like to gratefully acknowledge Dr David Hackam, Dr Steven C. Gribar, and Dr Rahul J. Anand, the previous contributors to this topic. DH, SCG, and RJA declare that they have no competing interests.

同行评议者

Oliver Soldes, MD

Staff Surgeon

Department of Pediatric Surgery

Cleveland Clinic Foundation

Cleveland

OH

利益声明

OS declares that he has no competing interests.

Lewis Spitz, MBChB, PhD, FRCS, MD, FRCPCH, FAAP, FACS

Emeritus Nuffield Professor of Paediatric Surgery

Institute of Child Health

University College

London and Great Ormond Street Hospital NHS Trust

London

UK

利益声明

LS declares that he has no competing interests.

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