小儿腹股沟疝为临床常见疾病,且多为腹股沟斜疝,其嵌顿疝发病率较高。临床治疗以手术为主,但手法复位的成功率亦较高,可做为术前准备工作的一项,要严格掌握复位的指征:①嵌顿时间不超过24小时, 无肠管坏死征象;②全身情况尚佳;③局部无炎性反应;④体积较大的嵌顿疝,肠管多而坏死的机会反而少,故即使时间超过24小时也可试行复位。 方法是注射镇静剂后,使患儿入睡,取头低足高位,平卧15～3O分钟,臀部垫高。腹股沟部注 Inguinal hernia in children as a common clinical disease, and mostly inguinal hernia, the incidence of incarcerated hernia higher. Clinical treatment of surgery-based, but the success rate of reduction is also high, can be used as a preparatory work, to strictly grasp the indications for reset: ① incarcerated for no more than 24 hours, no signs of necrosis of the intestine; ② the body condition is still good; ③ local no inflammatory reaction; ④ bulky incarcerated hernia, intestine and more but less chance of necrosis, so even if the time more than 24 hours can be reset trial. Method is to inject sedatives, so that children fall asleep, take low head high, lying 15 ~ 3O minutes, buttocks pad high. Groin Note