Intussusception gas enema after not venting not defecation can be abdominal massage, help intestinal peristalsis; check abdominal ultrasound and X-ray, check whether there is intestinal obstruction and intestinal perforation; if necessary, surgical treatment. Specific analysis is as follows:
1. Abdominal massage: the patient’s own intussusception condition is mild, gastrointestinal peristalsis is slow and short, after gas enema, no defecation can be used to massage the abdomen with the palm of the hand clockwise, to help intestinal peristalsis, to speed up defecation and excretion.
2. Examination of abdominal ultrasound and X-ray: patients with intussusception for a long time, which may lead to intestinal obstruction, air enema can not reset the intestinal tract will also occur when no defecation, examination of abdominal ultrasound can make clear the intestinal obstruction and the severity of intestinal obstruction; air enema of high-pressure gas may aggravate the pressure on the intestinal wall, resulting in intestinal perforation, at this time X-ray can be determined perforation, early treatment.
3. Surgery: if the patient does not pass gas and stool for a long time after air enema, the degree of intestinal obstruction and intussusception may be too serious to be reset, and CT and ultrasound are needed to clarify the condition, and then surgery is needed to reset the patient’s bowel.
Pay attention to the basic vital signs and reactions of the patient during the air enema, such as pallor, cold sweat, abdominal pain, etc., stop immediately and seek early medical attention.