What is intussusception? Lin Hai introduced that intussusception is a part of the intestine and its attached mesentery inserted into the adjacent intestinal cavity, forming intestinal obstruction. "Babies from 4 months to 2 years old are the most common and one of the most common acute abdomen for babies." According to Lin Hai, intussusception accounts for one third of the emergency department of pediatric surgery in this hospital. Every spring is a high incidence period of intussusception, which may be related to children's susceptibility to upper respiratory tract infections and other infections during this time.
This situation is not uncommon in clinic. Recently, some media reported that a 2-and-a-half-year-old boy in Nanjing, Jiangsu Province, drank yogurt after eating sugar oranges, and as a result, he was hospitalized with gastrointestinal discomfort. The doctor's diagnosis is: intestinal intussusception, need to fast.
For a time, many media have reprinted reports, it seems that intussusception is related to Shatangju and yogurt. Is intussusception really related to what food to eat?
Lin Hai said that in fact, 75% of children's intussusception can't find a clear cause, and 25% of them are known: the incidence of intussusception may be related to respiratory or gastrointestinal infections, such as viral gastroenteritis and colds. Simply put, it is all kinds of susceptible factors that lead to gastrointestinal dysrhythmia, which has nothing to do with what you eat, and may happen when you are hungry.
In addition, intussusception is easily confused with "eating bad stomach" or "gastroenteritis", and it needs physical examination and perfect related examination to distinguish it. Therefore, when children cry, vomit and have blood in the stool, it is best to send them to a doctor in time. The golden rescue time for this disease is 24 hours. Misdiagnosis or missed diagnosis often occurs in outpatient clinics.
Lin Hai said that intussusception is characterized by paroxysmal crying in children, and each crying lasts for 10 ~ 15 minutes, which is gradually aggravated. It is not allowed to touch or rub the stomach, which may be accompanied by vomiting and dark red or jam-colored stool.
"There are also some children who have a temporary intussusception and will recover on their own." Qin Lingling said that if a small patient with mild intussusception is clinically encountered, she will communicate with her parents and solve the problem through necessary and correct methods, such as rubbing the child's stomach counterclockwise. If self-deployment is unsuccessful, there are usually two ways to deal with it:
One is non-surgical treatment, which can be performed by water enema with warm physiological saline under ultrasonic monitoring or air enema under X-ray. This situation is suitable for people who are in good health within 48 hours of onset. Ultrasound or radiologist will give the child warm saline or air enema, and the intussuscepted intestine will be washed away by the pressure of water or gas.
"More than 90% can be cured by enema, avoiding surgery, and only a small part will recur." Qin Lingling said that compared with these two enema methods, warm saline enema will be the first choice, because it will be more effective in terms of success rate and tolerance of children, and it is the first choice for intussusception in children. However, for children who have been ill for more than 48 hours and have listlessness, severe abdominal distension, high fever or failed enema, emergency surgery is needed.