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1999年11月~2000年2月我区轮状病毒性肠炎(RV肠炎)流行,我科共收治152例,其中26例并发急性肠套叠,现将其早期诊断与治疗的体会介绍如下。 临床资料 男18例,女8例,男女之比为2.25:1;其中3月~6个月5例,~1岁14例,~2岁7例。本组26例金标免疫斑点法测定粪便RV抗体均阳性。急性肠套叠的诊断依据:在轮状病毒性肠炎病程中,出现以下一项或多项表现者:①频繁呕吐;②阵发性哭闹;③腹部包块;④便血。腹部B超
From November 1999 to February 2000, rotavirus enteritis (RV enteritis) was endemic in our district. A total of 152 cases were admitted to our department. Among them, 26 cases were complicated with acute intussusception. The experience of early diagnosis and treatment is introduced as follows. Clinical data of 18 males and 8 females, male to female ratio was 2.25: 1; of which 3 months to 6 months in 5 cases, ~ 1 year old in 14 cases, ~ 2 years old in 7 cases. The group of 26 gold standard immunofluorescence assay stool RV antibody were positive. Diagnostic criteria of acute intussusception: In the course of rotavirus enteritis, one or more of the following manifestations: ① frequent vomiting; ② paroxysmal crying; ③ abdominal mass; ④ blood in the stool. Abdominal B-ultra