目的 探讨多种辅助方法在小儿肠套叠空气灌肠复位中联合应用的方法和临床效果,以期提高小儿肠套叠空气灌肠整复率. 方法 选取2013年5月至2014年5月期间,盐城市妇幼保健院诊治的286例肠套叠患儿行空气灌肠复位的临床影像资料进行回顾性分析. 结果 286例患儿中,空气灌肠整复成功279例,成功率约为97.6%. 其中首次单纯空气灌肠复位成功110例;首次整复失败者经间歇性注气加压法结合手法辅助按摩再次空气灌肠复位成功161例;第2次空气灌肠失败者,给予654-2、镇静及肾上腺糖皮质激素药物后,行第3次空气灌肠复位,成功8例. 7例整复失败,行手术治疗. 结论 多种辅助方法在小儿肠套叠空气灌肠复位过程中的联合应用,大大提高了小儿肠套叠整复成功率,减少了肠穿孔等严重并发症的危险,并且避免了患儿手术的风险,减轻了患儿家属精神上的痛苦和家庭的经济负担.%Objective To investigate the combined application and clinical effect of several auxiliary methods on children air enema reduction of intussusceptions in order to improve air enema reduction rate of intussusceptions.Methods A retrospective analysis was conducted on the clinical imaging data of 286 children undergoing air reduction of intussusception in Yancheng Maternity and Child Health Care Hospital from May 2013 to May 2014.Results Among 286 cases with air enema reduction, 279 cases were successful and the success rate was about 97.6%.There were 110 cases obtaining successful results at the first reduction, and intermittent pressured gas injection combined with massage and second air enema reduction was successful in 161 cases who were failed at the first reduction.For the cases with failure at the second reduction, the third air enema reduction was given after giving 654-2, sedation and glucocorticoid drug, and 8 cases succeeded.The last 7 failed cases underwent surgery.Conclusion The combined application of several auxiliary methods in children air enema reduction of intussusceptions has improved the successful rate of intussusceptions and reduced the risk of serious complications. It also avoids the risk of surgery for children and reduces the mental and family financial burden of sick children's parents.
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