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直肠脱垂是儿童常见疾病,它由多种原因引起,处理方法各异。阿米巴病在热带和亚热带的儿童中极为多见,该病50～55%的病儿可发生直肠脱垂,至今此问题尚未引起重视。本文报告34例直肠脱垂伴有阿米巴性直肠炎的儿童,男性23例,女性11例,20例为部分脱垂,14例完全脱垂。其中12例因痢疾而致体重下降后发生的脱垂。其它儿童营养不良均不严重。年龄2～4岁13例,4～8岁11例,小于2岁10例。所有病例直肠涂片或大便检查均查见溶组织阿米巴包囊或滋养体。患儿分成两组分别以双碘喹(Di-iodoquin)30mg/kg体重和灭滴灵35mg/kg体重口服21天治疗,治疗停止第10天、21天及以后每月检查1次共3月。
Rectal prolapse is a common disease in children, it caused by a variety of reasons, different treatment methods. Amebiasis is extremely common among children in the tropics and subtropics. Recurrence of rectal prolapse can occur in 50 to 55% of children with this disease. So far, this problem has not been given any attention. This article reports 34 cases of rectal prolapse with amebic proctitis in children, 23 males and 11 females, 20 cases were partially prolapsed, 14 cases completely prolapsed. Among them, 12 cases of prolapsed after weight loss due to diarrhea. Other children are not malnourished. 13 cases were aged 2 to 4 years, 11 cases were 4 to 8 years old and 10 cases were less than 2 years old. All cases of rectal smears or stool examination were found dissolved histamine amoeba cysts or trophozoites. Children were divided into two groups were treated with Di-iodoquin 30mg / kg body weight and metronidazole 35mg / kg body weight oral treatment for 21 days, the treatment stopped on the 10th day, 21 days and after a month to check once in March .