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小婴儿腹部手术后肠套叠2例报告并文献复习Infant Intussusception after Abdominal Surgery in 2 Cases Report and Literature Review
术后肠套叠, 婴儿Postoperative Intussusception, Infant
《Asian Case Reports in Pediatrics》, Vol.4 No.1, 2016-03-14
Purpose: To explore the clinical characteristics postoperative intussusception of small infant, re-duce the incidence, and improve the early diagnostic rate. Method: 2 cases of postoperative intus-susception of infants were fulfilled the inclusion criteria. Result: 1 case, a 3 month infant with ter-minal ileum colostomy for intestinal perforation occurred intussusception 8 days after surgery. When we operated again, we found the nested bowel had been necrotic, then excised the necrotic bowl and closed the fistula. 7 days later, the third operation was conducted because of intestinal perforation. There were many perforations in near-end of the intestinal canal, hence we did an enterostomy again. The patient went to another hospital when in a smooth condition, and died of the doubtful aggravating enteritis a month after leaving our hospital. Another case, a 35 days infant occurred intussusception 2 days after ileum colostomy for congenital megacolon, undergone laparotomy, reposited manually successfully, then recovered and discharged from hospital. Con-clusion: Postoperative intussusception of small infant is rare, and easy to delay in diagnosis because of atypical clinical symptoms and signs, so to small infant with abdominal surgery, it is necessary to prevent the occurrence of postoperative intussusception actively, and to those that have occurred postoperative intussusception, it should detect, diagnose and treat early.