1 -year -old boy intestinal set Dr. "unbutton" to avoid surgery

Hubei Daily (Reporter Yu Jinyi, Correspondent Xue Yuan) The 1 -year -old boy was crying and noisy, vomiting for 3 days, and was diagnosed with intestinal cover. After transferring to Wuhan Children's Hospital, there was neither surgery nor using X -offline air enema to reset. Instead, he used hydraulic enema to reset to successfully "unravel" the children, and children were exempted from surgery and "eating rays". The baby was discharged on September 13, and the parents were grateful.

Xinzhou boy Mu Mu (pseudonym) was just 1 year old and 2 months old. He usually eats and sleeps. On September 7, Mu Mu was crying, unwilling to eat milk, vomiting water, just wanted to fall asleep, and his stomach seemed to be bulging. After the local hospital was inspected, Mu Mu was stacked, and it was recommended to move to Wuhan Children's Hospital for surgery.

Li Huan, the attending physician of the general surgery area of ​​the hospital, recalled that when Mu Mu was sent to the ward, his spirit was sluggish, his crying was weak, and his belly swollen like a small ball. At this time, the intestinal cases have been stacked for more than 72 hours, and it is also accompanied by intestinal obstruction. If it is not unpacked in time, it will cause intestinal ischemia and necrosis.

Children are younger and rash surgical treatment is greater. Li Huan suggested that the ultrasound guidance under the water pressure enema first, and the pressure of the water to help the intestinal reset. If the reset of the hydraulic enema cannot be successful, timely surgery reset is the only effective treatment method to reduce intestinal damage. After the first water injection, there was a sign of retreat in the stacked intestinal tube. After repeated water release, flushing and resetting. After 2 hours, the sleeve block slowly retreated until the end disappear, and the intestinal case was finally lifted.

"That night, the child's spirit became better, and the crying was loud, and he was willing to eat milk." Grandma said that she thought that the child was going to surgery for surgery. She was anxious to cry, especially thanked the doctor to let the child escape.

Li Huan explained that the intestinal cover is a section of intestines into a adjacent intestine. It is one of the common abdominal emergency in children like a single telescope. Acute intestinal cases are common in infants and young children within 3 years old. At present, the cause of intestinal condoms in infants and young children is not very clear. It may be due to dietary changes. For example, after adding supplementary food within 1 year old, it causes intestinal dysfunction. It is due to intestinal spasm, autonomic nerve disorders, causing intestinal peristalsis dysfunctional disorders, or causing the intestinal inverse creep. For too long, the child will have dehydration and electrolyte disorders. In severe cases, even intestinal necrosis may occur, which may endanger life.

According to Bian Hongqiang, the chief physician of the general surgery area of ​​the hospital, generally speaking, air enema reset in X -line is a commonly reset method for children's intestinal cases. However, this method must be performed under X -ray. Children are not easy to cooperate, family members need help, and there is a certain amount of radiation. Adults and children have to eat rays. Ultrasonic guidance under water pressure enema reset. This method treats acute intestinal condoms in children, and its advantages are more obvious. Especially for children with repeated intestinal collars, repeated development will not damage the child's body. At present, the department has been successfully reset for children with more than 1,300 cases.

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