临床误诊误治2024,Vol.37Issue(21) :19-23.DOI:10.3969/j.issn.1002-3429.2024.21.005

小儿肠套叠误诊原因分析及文献复习

Misdiagnosis Analysis of Intussusception in Children and Literature Review

刘丽梅 万光平
临床误诊误治2024,Vol.37Issue(21) :19-23.DOI:10.3969/j.issn.1002-3429.2024.21.005

小儿肠套叠误诊原因分析及文献复习

Misdiagnosis Analysis of Intussusception in Children and Literature Review

刘丽梅 1万光平2
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作者信息

  • 1. 620010 四川眉山,眉山市东坡区妇幼保健计划生育服务中心儿科
  • 2. 620010 四川眉山,眉山市人民医院儿科
  • 折叠

摘要

目的 探讨小儿肠套叠误诊原因及防范措施.方法 回顾性分析 2021 年 3 月至 2024 年 3 月收治的3 例小儿肠套叠的临床资料.结果 本组中1 例呕吐,1 例腹痛、排黏液血便,1 例腹泻,分别误诊为胃炎、肠炎、细菌性痢疾,予以对症支持治疗效果不佳.3 例均经腹部超声检查确诊为肠套叠.误诊时间为 2~4d.确诊后 2 例予以灌肠复位及手术治疗好转后出院,随访3 个月未复发;另1 例转至上级医院行肠部分切除术及吻合术治疗,痊愈出院.结论 肠套叠早期症状不典型,易误诊,需结合患儿症状、病史、体格检查、腹部X线透视及超声检查进行诊断,以减少误诊.

Abstract

Objective To explore the causes and preventive measures of misdiagnosis of intussusception in children.Methods The clinical data of 3 children with intussusception treated from March 2021 to March 2024 were retrospectively an-alyzed.Results In this group,1 patient with vomiting,1 patient with abdominal pain and excretion of mucous blood stool and 1 patient with diarrhea were misdiagnosed with gastritis,enteritis and bacillary dysentery,respectively,which did not re-spond well to symptomatic treatment.All 3 patients were confirmed with intussusception by abdominal ultrasonography.The duration of misdiagnosis was 2-4 d.After diagnosis,2 patients were discharged from hospital after enema reduction and surgi-cal treatment,and no recurrence was observed at 3-month follow-up.The other patient was transferred to a superior hospital for partial resection and anastomosis,and was discharged after recovery.Conclusion Intussusception has no typical symp-toms in the early stage,which is prone to misdiagnosis.The diagnosis should be combined with the symptoms,medical histo-ry,physical examination,abdominal X-ray and ultrasound,which is helpful to reduce misdiagnosis.

关键词

肠套叠/误诊/胃炎/肠炎/痢疾/灌肠/超声检查/儿童

Key words

Intussusception/Misdiagnosis/Gastritis/Enteritis/Dysentery/Enema/Ultrasonography/Child

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出版年

2024
临床误诊误治
解放军白求恩国际和平医院

临床误诊误治

CSTPCD
影响因子:0.914
ISSN:1002-3429
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