[儿童肠套叠--诊断和治疗指南]。

Harefuah Pub Date : 2024-07-01
Itai Shavit, Nitai Levy, Yael Dreznik, Ruth Cytter Kuint, Michalle Soudack
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引用次数: 0

摘要

导言回结肠肠套叠是婴儿期急性肠梗阻最常见的原因。如果没有快速诊断和干预,以及多学科医生之间的协作,患者的病情可能会严重恶化,导致缺血和肠道坏死。本立场文件由以色列儿科协会、以色列小儿外科协会、以色列放射协会(小儿影像学分会)和以色列急诊医学协会(小儿急诊医学分会)的一个委员会撰写,旨在制定指导方针,从而改善对儿童的治疗。本文讨论了临床评估原则、超声诊断、通过气压(空气灌肠)或静水压(液体灌肠)减压的非手术治疗方法以及这种治疗方法可能出现的并发症。本文讨论的其他主题还包括镇静以减轻缩小术带来的疼痛和痛苦、术后监测以及气压或静压缩小术失败时的手术治疗原则。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
[INTUSSUSCEPTION IN CHILDREN - GUIDELINES FOR DIAGNOSIS AND TREATMENT].

Introduction: Ileocolic intussusception is the most common cause of acute intestinal obstruction in infancy. Without rapid diagnosis and intervention, as well as collaboration among physicians from multiple disciplines, the patient's condition can deteriorate significantly, leading to ischemia and bowel necrosis. This position paper is the work of a committee of the Israel Pediatric Association, the Israel Pediatric Surgery Association, the Israel Radiological Association (Pediatric Imaging Section), and the Israel Association of Emergency Medicine (Pediatric Emergency Medicine Section) with the aim of establishing guidelines and thereby improving the treatment of children. The paper discusses the principles of clinical evaluation, sonographic diagnosis, non-surgical treatment by pneumatic (air enema) or hydrostatic (fluid enema) reduction, and the possible complications of this treatment. Other topics discussed in this paper include sedation to reduce the pain and distress associated with the reduction procedure, post-procedure monitoring, and surgical treatment principles in cases where pneumatic or hydrostatic reduction fails.

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