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目的探讨小儿肠套叠空气灌肠手法辅助复位的方法、作用与注意事项。方法9例在单纯空气灌肠复位效果欠佳时,采用手法按摩、推压及全腹十指按压。结果8例成功复位,未出现复发及穿孔,1例改用手术治疗。结论手法复位能压迫鞘外肠系膜来固定套鞘、套头,能推动套头以增加脱套动力,能改善局部肠管血液循环,缓解套入部痉挛、水肿、粘连,降低脱套阻力可有效提高复位成功率。
Objective To explore the methods, effects and precautions of children assisted intussusception air enema assisted reduction. Methods Nine patients in the simple air enema reset ineffective, the use of massage, pushing and pressing the whole abdomen. Results 8 cases were successfully reset, there was no recurrence and perforation, 1 case switched to surgery. Conclusions Manipulative reduction can compress the sheath sheath and the hemi-capillaries, which can promote the hedging to increase the power of denesting, improve the blood circulation of the local intestine, relieve the spasm, edema and adhesions in the intestine, and reduce the resistance of debridement, which can effectively improve the success rate of reduction .