"Life is impermanent, the large intestine is covered with small intestines?" Doctor: Intestinal cover, it will be terrible!

"Life is impermanent, the large intestine is wrapped in small intestine"

It was originally used by netizens to describe embarrassment.

This sentence is in the doctor's ears

It may be like this:

"Intestinal cover, it will be terrible!"

"Irrigation" ingenious intestinal cover stack

1 -year -old boy exempts "eating rays"

The boy Mu Mu (a pseudonym) is 1 year and 2 months old. He usually eats and sleeps. Suddenly crying on September 7, he refuses to eat milk, and vomits when he drinks water. After two days of needle, the situation did not improve, the child was drowsiness, and the stomach saw the bulging.

Parents have attached great importance to it. After being sent to the local hospital for examination, the doctor judged that this was not ordinary gastroenteritis, but a stack of intestinal cases. It is recommended to go to Wuhan for surgery.

On the afternoon of the 10th, his parents were sent to Wuhan Children's Hospital to see a doctor. At that time, the child was sluggish, the cry was weak, and his stomach swelled like a small ball.

Based on the medical history, the doctor infer that the intestinal case has been over 72 hours and is accompanied by intestinal obstruction. If the intestinal tube is unraveling in time, it will cause intestinal ischemia and necrosis, and the consequences will be unimaginable.

Li Huan, the attending physician of the general surgery area, analyzed that Mu Mu is too young. If he rashly performs surgery and damage to the body, you can first try ultrasound to guide the water pressure enema and use the pressure of water to help the intestinal reset. If the effect is not satisfactory, finally consider performing surgery.

After fully communicating with parents, the doctor had treated Mu Mu. Fortunately, after the first water injection, the intestinal tube had signs of retreat, indicating that there was a possibility of success. Repeatedly using warm -biological saline enema and water release. After two hours of operation, the intestinal case was finally lifted to avoid intestinal necrosis. That night, Mu Mu was willing to eat milk, and the cry became louder, and people had a spirit.

Parents said that she thought that her child was going to perform surgery, and she cried anxiously. "Now the child is recovering very well, especially thanks Dr. Li for letting the child escape."

What is the intestinal cover?

The intestinal stack is a period of intestines in a adjacent intestine, similar to the state of retractable telescope.

In addition to the intestinal tube blood supply disorders, intestinal cases will also cause intestinal motility abnormalities and cause intestinal obstruction.

Intestinal cases are common in infants and young children under 3 years old. It is one of the common abdominal acutes of children.

Why do intestinal sets like "bullying" little dolls?

The intestinal sleeve is divided into primary and secondary.

The cause of children's intestinal cases is currently unclear. Ninety percent of the intestinal cover cannot find the exact cause of the disease, which is called specialty.

It is generally considered to be related to the following factors:

(1) Intestinal motility disorders: The baby's intestinal development is not perfect, and the rhythm of intestinal peristalsis changes greatly. Many causes of intestinal peristalsis are caused, such as diarrhea, fever, dietary changes, and complementary food stimulation.

(2) Virus infection: intestinal cases may be related to infections such as some viruses such as adenovirus and rotary virus, which leads to the gathers of lymph nodes hyperplasia, local intestinal walls are thickened, and even the lumps protrifice with the intestinal cavity to form intestinal cases. starting point.

(3) The membrane of the blind part of the infant period has not yet been fixed and improved, and the blind part of the blind part is large, which can easily cause intestinal cover.

(4) A few years of long child may be related to intestinal polyps, duplicate deformities, Mecker diverticulum, tumor and so on.

Harm of intestinal cases

When the intestinal case is stacked, the intestinal segment will cause the blood vessels to be pressured, causing the venous blood and lymphatic stasis, and the intestinal wall swelling, causing the intestinal case to become tighter. Obstruction, evolving intestinal necrosis, and then developing peritonitis, endangering baby's life.

Because of this, intestinal cases are an acute abdomen that requires timely treatment. Many parents did not find abnormalities in time in the early days when the intestinal cover occurred because they did not understand this aspect. They did not have severe symptoms until the baby had severe symptoms.

How to find it early?

The typical symptoms of intestinal condoms are children's paroxysmal crying, jam stool, and right upper abdomen.

1 paroxysmal crying

When the intestinal case is stacked, the baby may have paroxysmal abdominal pain, sometimes crying for 3 to 5 minutes and 10-15 minutes intermittent. A little big baby can express his stomach pain. Babies generally cannot express their feelings accurately. Usually, restlessness, crying, and crying, legs are flexing and not letting their stomachs.

After repeated onset, the baby may show poor mental, pale or cold sweat. Do n’t think that your baby is fine when he is quiet.

2 vomiting

Babies with intestinal cases will vomit shortly after abdominal pain. At the beginning, the vomit is mainly milk, milk cubes and other stomach contents. After that, vomiting has yellow -green bile.

3 Sauce -like blood stool

Dark red jam -like mucus and blood should often appear 6 to 12 hours after the baby becomes ill.

4 abdominal lump

If you check your baby's stomach carefully, you will find that the baby's belly has a lump or banana -like lump like a lump or banana in the middle, smooth and tender.

For parents, the most important thing to pay attention to is paroxysmal crying. This kind of crying is very typical. For example, children are once every 10 ~ 20 minutes. When we cry for a few minutes, it will last for a long time. , Timely sending the doctor. When the jam stool occurs, the intestinal tract may have congestion or necrosis, and the difficulty of treatment will increase significantly.

Will the intestinal condom be recur?

5%-8%of children will have intestinal cases and relapse. Therefore, for infants and young children who have suffered from intestinal cases, the chance of recurrence of old diseases also exists, and it must not be careless.

How to prevent it?(1) Pay attention to scientific feeding, do not be hungry, or be full. It is best to eat it on time to prevent the gastrointestinal burden of children from being too heavy or hungry.

(2) Add complementary foods step by step, do not overwhelm it, to prevent the gastrointestinal tract that has not yet developed and can not adapt to the sudden change of food.

(3) Increase or decrease clothes at any time according to the changes in climate to avoid stimulation of changes in the environmental changes such as home coldness and heat, causing gastrointestinal motility disorders.

Finally, parents are reminded that intestinal cases are one of the worst surgical emergencies in infants and young children, and it is important to discover in time.

There is no shortcut to go, and ordinary family care cannot relieve symptoms. The only way is to discover as soon as possible!Medication for treatment as soon as possible!

(Source: Wuhan Children's Hospital Wuhan Maternal and Child Health Hospital)

【Edit: Wang Yujin】

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