One-year-old Xiao Bao cried incessantly, The mother anxiously described the child’s situation to the doctor: The child seems to have eaten something bad, the spirit is poor, the small hand covers the abdomen from time to time, also vomits from time to time. After the doctor passes the examination, the feeling does not look like the general gastroenteritis, immediately gives the child the ultrasound examination. The result shows that Xiao Bao does not eat something bad from time to time, but has the intussusception. Intussusception is a kind of what? Intussusception is one of the common abdominal emergencies in pediatrics. Eighty percent of the cases were within one year of age, Especially 5 ~ 9 months old, There are more boys than girls. Intussusception refers to a section of intestinal canal, together with its attached mesentery, etc., which is inserted into the intestinal cavity connected to it. In addition to causing an obstruction of blood supply to the bowel, There will also be intestinal peristalsis abnormalities, And cause intestinal obstruction. In children, Intussusception accounts for 15% ~ 20% of the causes of intestinal obstruction. Because the development of infant digestive system is not perfect, The end of the small intestine is easily embedded in the large intestine, Resulting in intussusception. 75% of cases of intussusception occur near the ileocecal valve. The second is the small intestine. Ninety percent of intussusception cannot find the exact cause of the disease. It is called [idiopathic]. Observations show that: Intussusception is related to diarrhea, constipation, medication, upper respiratory tract infection, intestinal allergy, etc. Some seasonal high incidence periods, It may be related to the epidemic of some viruses or diarrhea. The harm of intussusception. When intussusception alone occurs, Inserting the intestinal segment will compress the blood vessels, Stasis of venous blood and lymph, swelling of intestinal wall, Causing intussusception to become tighter and tighter, If the cuff is too long, the intestinal wall arteries will also be blocked. Evolved into intestinal necrosis, then developed into peritonitis, life-threatening. Because of this, intussusception is an acute abdomen that needs timely treatment. Many parents do not understand this knowledge and do not find abnormalities in time in the early stage of intussusception until the baby has serious symptoms to treat. How to find it early? Typical symptoms of intussusception include: Paroxysmal crying, vomiting and jam-like bloody stool. 1. Paroxysmal crying is mainly caused by abdominal pain. After intussusception occurs, Intestinal obstruction, Intestinal peristalsis will become very strong, Paroxysmal abdominal colic, Often combined with vomiting. Older babies can express their stomachache, Older babies are generally unable to express their feelings accurately, Usually there is restlessness, paroxysmal crying, Bend your legs so as not to touch your stomach. After paroxysmal crying (pain), When the baby appears to be quiet, May show poor spirit, pale complexion or cold sweat. Parents must not think that the baby will be fine when it is quiet. If the intussusception is not released, The next intestinal spasm will occur soon. 2. Eight hours after the occurrence of jam-like bloody stool paroxysmal abdominal pain, The baby can remove jam-like blood stool. This is because after the intestinal canal is locked up, A bloody stool caused by a mixture of intestinal mucus, If you don’t send a doctor in time at this time, It is easy to cause intestinal necrosis, Even peritonitis. Of course, these symptoms may also be caused by other reasons. Such as gastroenteritis, constipation, etc. Therefore, When the baby has paroxysmal crying and vomiting, Parents should take the baby to the hospital for examination. Don’t treat the baby as [gastroenteritis]. Common gastroenteritis can also cause vomiting. Generally has fever and the symptom is mainly diarrhea, However, intussusception usually vomits before jam-like stool occurs, Less fever. But intussusception can also be caused by diarrhea after gastroenteritis. Experienced doctors will help the baby check for the possibility of intussusception. Typically, a sausage-like lump can be felt in the lower abdomen. When doing anal diagnosis, blood sticky stool can be seen on gloves. Parents should pay attention to the symptoms of the baby. After being sent to the doctor, one must also think about whether intussusception may have occurred. Give the doctor a warning. Remove intussusception in time. If it is found, if it is suspected to be intussusception, Pediatricians will perform air or normal saline enema under X-ray or ultrasound examination. On the one hand, diagnosis is made, At the same time, the treatment is carried out. Maintain a certain pressure and slowly inject air or normal saline from the anus into the large intestine. Push the inserted intestinal canal back to its original place. Children who have been successfully reduced by enema still need to be hospitalized for 24 hours. Make sure there is no problem before leaving the hospital. Parents need to be reminded, Children with intussusception have 2% ~ 4% possibility of recurrence. The success rate of early reduction in air enema treatment of intussusception is about 80% ~ 90%, The longer the delay, the harder it will be to reset successfully. If it cannot be recovered, surgery must be performed. If it is found that intussusception has occurred for more than 24 hours (the intestine may have ischemic necrosis at this time) or intestinal necrosis and peritonitis are suspected, There is a risk of intestinal rupture when enema is performed. Emergency surgery is required. During the operation, it is found that if the intestinal canal is not necrotic, the intestinal canal can be squeezed back from the distal end to the proximal end like milking, Restore the intussusception of large and small intestines. If the treatment is timely, Generally, the patient can be discharged smoothly within 2-3 days after operation. If the intestinal canal has necrosis, the necrotic intestine needs to be removed. It takes at least 6 to 7 days to be discharged from the hospital after the operation. If there are more necrotic intestines, Short bowel syndrome may occur after the operation, affecting the child’s nutrition and normal development. Therefore, it is very important to find intussusception in time. For babies who continue to cry and vomit at the same time, not only doctors should pay attention, parents should also think of the possibility of intussusception, timely diagnosis, and do not delay treatment.
