Generally, conservative treatment is adopted within 48 hours after onset. The overall condition of the child is good, and the intussusception is not serious. At present, it includes the application of air or barium enema reduction under X-ray fluoroscopy, saline enema reduction under B-ultrasound monitoring and gas reduction in fiber colonoscopy. After repositioning, children can often sleep peacefully, abdominal distension is reduced and mass disappears. Usually take medicinal charcoal 1g after reset. After a few hours, feces containing black carbon particles will be discharged from the anus. After completely repositioning, you can eat. Bacteria and toxins are absorbed and need anti-infection and related symptomatic and supportive treatment, such as intravenous infusion and antibiotics. ?
? 2 surgical treatment
The indications for surgical treatment are onset for more than 48 hours, poor general condition, repeated recurrence, chronic intussusception or complex intussusception, failure of non-surgical reduction, and other intestinal diseases in the later stage. Establishing venous access before operation, correcting water and electrolyte, acid-base balance disorder, fasting, retaining gastric tube, gastrointestinal decompression and applying antibiotics. Postoperative complications may include high fever, convulsion, abdominal distension, incision dehiscence, intestinal fistula and peritonitis.
? 3 start time
1, age: mostly occurs within 2 years old, mostly in infants under 1 year old, and reaches the peak in April 4- 10/October. With the increase of age, the incidence rate gradually decreases, which is more common in obese boys.
2. onset season: it can be seen all year round, and the onset is concentrated in late spring and early summer. ?
? 4, the cause of the disease
It may be related to the change of eating habits and ways, intestinal dysfunction caused by food stimulation and surgery, anatomical abnormality of ileocecum, intestinal spasm, virus infection and so on.
5 clinical manifestations?
Acute intussusception in infants is more common when the proximal intestine is inserted into the distal intestine, especially when the end of ileum is inserted back into the cecum or colon. The clinical manifestations of acute intussusception are paroxysmal crying, vomiting, jam-like stool and abdominal sausage-like mass.
? 6 preventive measures?
1, usually pay attention to scientific feeding, not too hungry or too full. It is best to eat on time and in quantity to prevent children from being overweight or hungry.
2. Add complementary food step by step. Don't be too hasty, in case the child's immature gastrointestinal tract can't adapt to the sudden change of food.
Clothes should be increased or decreased at any time according to climate change. It is necessary to prevent children from being stimulated by environmental changes such as cold and heat at home, causing gastrointestinal peristalsis. ?
4, under the guidance of a doctor, scientifically repel mosquitoes, do not abuse mosquito repellent without authorization, and avoid all kinds of bad incentives that are easy to induce intestinal peristalsis. ?
5. Infants with intussusception may relapse if they are affected by unfavorable factors. Therefore, don't think that children with intussusception are negligent.