儿童肠套叠:一个病例系列和文献回顾

Carol Pineda, Madhu D Hardasmalani
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引用次数: 6

摘要

背景:肠套叠是婴幼儿急性肠梗阻的主要原因。肠套叠的典型临床三联征是腹痛、呕吐和便血。然而,只有20%的患者表现出这三种症状。目的:本文的目的与一系列病例的肠套叠是回顾频谱的临床表现,这种疾病实体。方法与结果:我们描述了3例以不同主诉就诊于急诊科的肠套叠患者。并就肠套叠的诊断及治疗策略作一综述。结论:临床怀疑是诊断的关键。这篇文章强调了急诊科医生在任何有腹痛、胃肠道症状或精神状态改变的儿童中怀疑肠套叠的重要性。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Pediatric intussusception: A Case Series and Literature Review
Background: Intussusception is the major cause of acute intestinal obstruction in infants. The classic clinical triad of intussusception is colicky abdominal pain, vomiting and bloody stools. However, only 20% of patients present with this triad. Objectives: The objective of this article with a series of cases of intussusception is to review the spectrum of clinical presentation of this disease entity. Methods and Results: We describe 3 patients with intussusception that presented to our Emergency Department (ED) with different complaints. Also this article reviews diagnosis and management strategies of intussusception. Conclusions: Clinical suspicion is the key for diagnosis. This article highlights the importance of suspecting intussusception by the ED physician in any child with abdominal pain, gastrointestinal symptoms or altered mental status.
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