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目的:用手法辅助空气灌肠整复小儿急性肠套叠,提高复位成功率。方法:本组共50例,气压选择在8~14.6kPa之间,当套头于肠曲内受阻时,施以双手的按摩,推压来降低脱套阻力。结果:50例中,5例套头受阻于肝曲,43例受阻于回盲瓣区,2例于肝区、回盲瓣区均受阻,经配合手法后,47例复位成功,成功率94%。结论:在小儿急性肠套叠中,借助于手法按摩,推压可明显矫正肠腔的弯曲,减轻套入部的痉挛与水肿,降低脱套阻力,加速肠套叠复位。
Objective: To assist the air enema rehabilitate the acute intussusception in children and improve the success rate of reduction. Methods: A total of 50 patients in this group, the pressure is selected between 8 ~ 14.6kPa, when the hedging in the intestine song blocked, with both hands massage, push to reduce the denesting resistance. Results: Among the 50 cases, the hemorrhage was blocked in 5 cases, the obstruction in the ileocecal valve area in 43 cases, the obstruction in the ileocecal valve area in 2 cases, and the ileocecal valve area were blocked. After the operation, 47 cases were successfully reset with a success rate of 94% . Conclusion: In pediatric acute intussusception, with the help of massage and massage, the bending of the intestine can be corrected obviously, and the spasm and edema in the inserted part can be alleviated. The resistance of denesting can be reduced and the intussusception can be accelerated.