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1、1On the diagnosis of intussusceptionAbstract Intussusception is part of the intestine and its Department of the film sets into the adjacent intestine can be divided into primary and secondary intussusception, the former occurred in infants under 2 years old, while the secondary intestinal intussusce
2、ption induced by lesions of the intestinal wall or intestinal lumen device quality, more common in adults. Objective To discuss the diagnosis of intussusception. Patients with clinical manifestations and test results, diagnosis and treatment. Conclusion Adult intussusception is difficult to diagnose
3、, barium gastrointestinal tract angiography in the diagnosis rate. CT examination is considered the most valuable, a typical CT The intrinsic performance of the target, the comet tail sign. intussusception typical cases can be diagnosed based on history and physical examination, the key is early doe
4、s not typical of the sick child should strive for early diagnosis. Keywords: diagnosis of intussusception Intussusception is part of the intestine and its mesentery 2into the adjacent intestine can be divided into primary and secondary intussusception, the former occurred in the 2 years of age infan
5、ts, while the secondary intussusception induced by the matter lesions of the intestinal wall or intestinal lumen device, more common in adults Antao into the intestine of the top and the outer sheath neck bowel can be divided into different types. (A) epidemiological Intussusception is a common caus
6、e of pediatric intestinal obstruction, 80% occurred in children under 2 years old to 10 month-old infants the most common, then gradually reduce the two-year-old boys and the incidence is 2 to 3 times that of girls. Early childhood intussusception stack tends to occur in the last paragraph of 50cm i
7、leum where Peyer plaques largest adult intussusception chronic recurrent intussusception, its causes are often associated with intestinal polyps, tumors and other lesions. (B) the cause Intussusception often associated with intestinal anatomical characteristics (such as the cecum activities through
8、the large) pathological factors 3(such as polyps, tumors), and intestinal dysfunction, dysmotility related. Intussusception in adults generally have obvious reasons. The majority of polyps in the intestinal wall long, papillary adenoma or submucosal lipoma. When the peristaltic wave intestinal tumor
9、 to remote stretch of the bowel segment with the sets into the distal intestine and the formation of intussusception. Meckel diverticulum may also plunged into the intestine caused by intussusception intussusception in adults generally occur in the jejunum or ileum. Common for intussusception in chi
10、ldren 6 to 12 months and young children. Cause has not yet entirely clear, known as spontaneous intussusception .6 to 12 months of age tend to be young weaning and changes in food, but most experts agree that intestinal intussusception in children changes in diet, diarrhea, enteritis, systemic viral
11、 infection caused by peristalsis, functional disorder. Motility disorders, irregular bowel movements, easy to make for some sets of bowel into 4another, the formation of intussusception. (C) The pathophysiology Intussusception by the intestinal wall of three layers composed of: the outer wall of the
12、 sheath Ministry, the intussusceptum from the most inner and fold back wall. The intussusceptum the front of the top of the sheath of the Ministry of the opening for the neck. Sets into the Ministry of mesangial vascular sheath Ministry squeeze leaving into the intestinal hyperemia, edema and necros
13、is resulting in intussusception, as long as the mesentery long enough and intestinal activities intussusceptum at the top can continue to move forward to the left of the colon . (D) Category (1) the cause of type can be divided into primary and secondary categories, the vast majority of primary intu
14、ssusception in infants and young children is generally believed that children are often the motility disorders and intestinal cramps, severe persistent spasm segment proximal to the peristaltic force push is connected to the distal intestine, especially the continuous the ileocecal vertical directio
15、n the position 5more easily into the secondary intussusception is more common in adult patients, is due to the intestinal wall or intestinal cavity organic disease peristalsis pushed to the far side of the tumor attached to the intestinal wall is folded into the distal intestine. 2 according to the
16、type of diseased parts can be divided into the ileum - colon, ileum - caecum - colon, small intestine - the small intestine type and colon - colonic. (5) Clinical manifestations Children with symptoms of intussusception in children 80% occurred in children less than two years old, a sudden onset, mainly as abdominal pain, vomiting, bloody diarrhea, abdominal “sausage-like mass”. Share Free paper Download Center http:/www Paroxysmal abdominal pain
