但是,多年来的临床经验告诉我,妈妈对孩子病情的观察往往是最仔细、也是最可靠的,而且这位妈妈敏锐地捕捉到孩子的“不妥之处”——宝宝会阵发性、规律性地哭闹。这是一个16月龄的女孩,因排便异常、哭闹前来就诊,但据我的观察,孩子除了刚进入诊室及查体时偶有哭闹外,其他时间都安静。在查体时,腹部触诊没有发现包块,孩子也没有明显的压痛反应,肠鸣音存在,其他部位查体无异常发现…看上去宝宝似乎并没有什么不妥。
肠套叠属于外科急症,于是孩子很快被转诊至外科治疗了,灌肠复位手术也非常成功。
直到此时,我心里的石头总算落了地。对于肠套叠需要早发现、早治疗,否则随着病程延长,患儿可能并发肠坏死或腹膜炎,出现严重的后果。
肠套叠(intussusception)是指部分肠管及其肠系膜套入邻近肠腔所致的一种肠梗阻,是年幼儿尤其是6个月至3岁幼儿常见的急腹症。
说到这里,大家大概已经了解了肠套叠的来龙去脉,如果一个健康的婴儿突然出现不明原因的阵发性哭闹时,应该尽快请医生确诊。同时,曾经患过肠套叠的婴幼儿,旧病复发的几率也同样存在,千万不可大意。
参考文献:
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