The key to the treatment of primary intussusception in infants and young children lies in the early and late diagnosis, such as early diagnosis and early application of enema reset can be cured. If the diagnosis is delayed for more than one or two days, especially with severe dehydration or shock and other symptoms, surgical repositioning is required, and in severe cases, intestinal necrosis is required to do intestinal resection, and the morbidity and mortality rate is significantly higher up to about 2%-5%.
First, the early onset of non-surgical treatment, the general course of the disease within forty-eight hours of primary intussusception, bloody stool symptoms do not exceed twenty-four hours, the child is not significantly dehydrated, no complete intestinal obstruction, the abdomen is not distended can be cured by enema treatment. There are two methods of enema: air pressure enema and barium enema with water pressure reset method. In the clinical selection of which enema method, according to the early and late disease, the severity of the disease and intussusception site and decided.
Second, about the surgical treatment, where the duration of the disease more than forty-eight hours, bloody stool symptoms for more than twenty-four hours or with high fever and dehydration, mental weakness and poor general condition with symptoms of shock intoxication and abdominal distension, especially small intestine stasis under X-ray fluoroscopy by enema failed to reset, and repeated stasis or with intestinal necrosis need surgery.