小兒腸炎繼發急性假結腸梗阻臨床治療分析

田寶青

【摘要】 目的：研究探討小兒腸炎繼發急性假結腸梗阻的臨床治療方法。方法：隨機選取本院2012年3月-2014年3月收治的小兒腸炎繼發急性假結腸梗阻患兒40例為研究對象。對所有患兒進行肝功能、血淀粉酶、血尿常規以及血電解質檢查。所有患兒在接受檢查的同時還需經X線片檢查。觀察所有患兒的生命體征，針對患兒癥狀采取有效的和治療手段。患兒在治療腸炎的同時，均實施保守治療的方式。結果：本組研究活動中的所有患兒治療后均痊愈，僅1例患兒在治療期間出現盲腸壞死，及時采取手術治療后痊愈出院。在患兒痊愈6個月后，經調查顯示，患兒出院后恢復良好，對醫院的臨床治療效果均較為滿意。結論：小兒腸炎繼發急性假結腸梗阻患兒在治療期間注意與機械性梗阻等癥狀相區別。根據患兒的實際情況采取有效的治療方法。患兒治療腸炎采用禁食、補液、溫鹽水低壓沖洗腸道、胃腸減壓等各種方法治療的同時，采用保守治療方式可以有效控制患兒的各項癥狀。但是，治療期間嚴密觀察患兒各項生命體征，若出現異常時積極采取處理措施，有助于臨床效果的提高。

【關鍵詞】 小兒腸炎； 急性假結腸梗阻； 臨床治療

Pediatric Inflammatory Bowel Disease Secondary to Acute False Junction Obstruction Clinical Analysis/TIAN Bao-qing.//Medical Innovation of China，2014，11（28）：138-140

【Abstract】 Objective： To explore pediatric enteritis inspire the clinical treatment of acute false junction obstruction. Method： To randomly selecte from our hospital in March 2012 - March 2014 pediatric enteritis inspire season of acute intestinal obstruction treated with 40 cases as the research object， for all children with liver function， blood amylase， routine urine and blood electrolytes examination. All children underwent X-ray examination. To observe all the patient's vital signs， effective approaches for the children with symptoms and treatments. The children in the treatment of inflammatory bowel disease at the same time， all received implementation way of conservative treatment. Result： Treatment， according to the results of all patients were recovered after treatment， only 1 case during treatment in caecum necrosis， take timely surgery recovered after treatment. After six months， after recovering from the children. Investigation showed that， children recovered well after discharge， the clinical therapeutic effect of hospitals were more satisfied. Conclusion： Pediatric enteritis arouse attention during the season of acute intestinal obstruction in the treatment of children with mechanical obstruction symptom such as phase difference. According to the actual situation of children take effective treatment. Children with salt water treating enteritis fasting， rehydration， low pressure flush of intestinal tract， gastrointestinal decompression and other methods to treat at the same time， the conservative treatment can effectively control the patient's symptoms. Closely observed during treatment with all the vital signs， if abnormal take active measures， help improve the quality of clinical effect.

【Key words】 Pediatric enteritis； Acute false junction obstruction； Clinical treatment

First-authors address： Shandong Heze Peony People's Hospital， Heze 274000， Chinaendprint

doi：10.3969/j.issn.1674-4985.2014.28.047

急性假結腸梗阻（acute colonic pseudo-obstruction， ACPO）在臨床上是一種結腸機械性梗阻[1]。但是，該病癥在臨床上不存在結腸器質性變等綜合征。該病癥發作的過程中伴有不同程度的嘔吐、腹脹以及惡心等現象[2]。嚴重的情況還會導致腸穿孔和腸壞死等癥狀。……