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首页> 外文期刊>Journal of Clinical Sciences >Childhood intussusception in Abeokuta, South-west Nigeria
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Childhood intussusception in Abeokuta, South-west Nigeria

机译：童年肠套属植物在尼日利亚西南部的阿伯科塔

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Background and Objective: While significant progress has been made in the management of childhood intussusception globally, many centers in the developing world still grapple with the challenges of late presentation and attendant high morbidity and mortality. This study aims to review the pattern of presentation and the treatment outcome of children treated for intussusception at a semiurban tertiary hospital in Abeokuta, South-west Nigeria. Patients and Methods: A retrospective study of forty consecutive children aged 15 years old and below, who were managed for intussusception between April 2013 and March 2018 was done. The bio data, clinical presentation, operative findings, and outcome were obtained from the operating theater records and patient case notes. The data were analyzed using the SPSS software version 23. Results: There were forty patients, of which 20 were male and 20 were female. Their age ranged from 4 months to 5 years, with a median age of 7 months. Thirty -five (87.5%) patients were aged less 1 year. The duration of symptoms ranged between 6 h and 9 days (median = 3 days). Majority (57.5%) of patients presented after 48 h of the onset of symptoms. The patients were treated by the operative manual reduction in 67.5%, whereas 32.5% had bowel resection and anastomosis. Seven children (17.5%) died while postoperative complications occurred in 27.5% of patients. Factors associated with poor outcome included late presentation, bowel resection, and severe sepsis. Conclusion: The management of intussusception in Abeokuta is associated with high morbidity and mortality, which can be improved if affected children present earlier.
机译：背景和目标：虽然在全球童年肠套化的管理中取得了重大进展，但发展中国家的许多中心仍然努力努力追求晚期呈现和伴随的发病率和死亡率的挑战。本研究旨在审查在尼日利亚阿伯邦塔省阿布托塔岛半城高等院医院治疗儿童的介绍模式和治疗结果。患者和方法：在2013年4月至2018年4月期间进行了45岁及以下的四十岁及以下儿童的回顾性研究。生物数据，临床介绍，手术结果和结果是从操作剧院记录和患者案例说明中获得的。使用SPSS软件版本23分析数据。结果：有四十名患者，其中20名是男性，20名是女性。他们的年龄范围为4个月至5年，中位年龄为7个月。三十岁（87.5％）患者减少1年。症状的持续时间范围在6小时和9天之间（中位数= 3天）。在症状发作48小时后呈现的大多数（57.5％）患者。通过67.5％的手术手动减少治疗患者，而32.5％肠切除和吻合术。七个孩子（17.5％）死亡，而患者患者的术后并发症发生在术后并发症。与差的结果相关的因素包括晚期呈现，肠切除和严重脓毒症。结论：阿伯科塔肠肠化的管理与高发病率和死亡率有关，如果受影响的儿童提前存在，可以改善。

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