I. Clinical manifestations of intussusception 1, mostly in infants and young children, especially children under 2 years old.
2, typical manifestations: abdominal pain, vomiting, blood in stool and abdominal mass.
Second, classification 1, primary intussusception occurs in the intestinal tube without pathological changes, mostly in children. In children, intestinal peristalsis is active, and at the age of adding supplementary food, intestinal entrapment can occur due to intestinal peristalsis disorder. Infections of the upper respiratory tract or gastrointestinal tract in children, often combined with enlarged mesenteric lymph nodes, may also affect the normal peristalsis of the intestinal tube and lead to intussusception.
2, secondary intussusception often occurs in the intestinal tube with lesions, such as Merkel’s diverticulum, polyps, tumors, intestinal wall hematoma (such as allergic purpura), etc. as a trigger and become the starting point of intussusception.
Third, treatment 1, pediatric intestinal entrapment is mostly primary, can be applied to air or barium enema method of reset. But suspected intestinal necrosis is contraindicated.
2, enema method can not be reset or suspected of intestinal necrosis, or for secondary intestinal entrapment feasible surgical treatment. The specific surgical method should be decided according to the investigation. Without intestinal necrosis, surgical reset; with difficulty, cut the neck of the outer sheath to reset, and then repair the intestinal wall; with necrosis or combined with other organic diseases feasible intestinal resection anastomosis or fistulotomy.
Prevention 1, should avoid diarrhea, especially autumn diarrhea, parents should be highly alert to the occurrence of this disease.
2, usually pay attention to scientific feeding, do not overfed, change food at will, add supplementary food should be gradual, do not be too hasty.
3, to pay attention to the climate changes, always increase or decrease clothing, to avoid all kinds of easily induced intestinal peristaltic disorders of adverse factors.
4, if a healthy infant suddenly appears unexplained paroxysmal crying, pale, cold sweat, vomiting, blood in the stool, mental depression, should think about the possibility of intussusception.
5.The main symptoms are abdominal pain, vomiting and jam-like bloody stools.