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B-mode ultrasound pulse of hydraulic fluid under the combined treatment of pediatric intussusception enema (report of 126 cases)

The x ray exposure of patients and medical personnel hazards, retaining the advantages of air enema, so that eliminates the vast majority of children with surgical pain. Our hospital from January 1998, during the B-mode ultrasound under pressure with a saline enema, based on the normal saline solution to complex; continuing pressure to pulse pressure enema enema; push method to the saline injection self-pressurized closed hand control device is connected rough anal enema enema, the experience is as follows: First,[link widoczny dla zalogowanych], this method is simple, effort, time, give full play to fast water, the pulse hydraulic enema effect. And reset a higher rate of composite liquid filled Sheng fluid bags, by 06 - 08cm in diameter lumen catheter injection, give full play to the lumen diameter,[link widoczny dla zalogowanych], water fast, the effectiveness of direct pressure transmission, a short time to complete the enema process. Salt method with hanging _2J, injection method 1] ~ compared to the anal canal without having to repeatedly pumping the tedious steps of repeated bolus, reset the time shortened, and the low pressure enema. We used the catheter end of the straight population, in direct, hydraulic conductivity, 72% of the intussusception in 6 ~ 8kPa sick child under the pressure of success that quickly reset. Second, the application of pulse pressure reduction and high success rate means the surgeon controlled hydraulic extrusion Sheng water bag in the 6-8kPa maintained on the basis of the pulse generated 9 ~ 12kPa pressure catheter complex liquid free access to the intestine through the thick, not only help set adhesiolysis stack reset, but also increased pressure to avoid intestinal ischemia caused by perforation of intussusception and high abdominal pressure crisis. Some scholars have reported that use of pulse air enema reduction significantly improved the success rate, complications such as intestinal perforation does not appear. We learned a pulsed hydraulic pulse air enema enema of the advantages, and the intestinal wall in good condition. Display shows the distal colon from the proximal in order to expand, . Third, the pressure monitoring easy and accurate. Sheng water bag then Fourth, developing clear. Composite solution developer for the gastric ultrasound synergist, enema intestinal wall can be clearly demonstrated organizational level images, high resolution,[link widoczny dla zalogowanych], developing stable and reliable. 2 patients in this group found during reset ileocecal mass outside the bowel wall. And two years respectively after 24h recovery sets are reset after surgery to remove the lump in the pathological examination, suggesting that abnormal proliferation of lymph nodes. Fifth, a wide range of indications. In addition to place children with peritonitis, intestinal necrosis, shock and severe abdominal distension of intussusception, but can be regarded as indications. Duration of disease was not the sole basis for complex liquid enema, general condition should be closely combined with the consideration of local performance, while B-room surgeons and physicians should cooperate closely, pay attention to avoid intestinal perforation. We understand: the liquid injection pressure to 12kPa,[link widoczny dla zalogowanych], can not reset after repeated surgery should be considered, otherwise the blind to increase pressure,[link widoczny dla zalogowanych], not only can not the entire complex, and may increase complications. VI, recovery speed. Composite solution heated to 37 ℃, is conducive to intestinal stasis intussusception, intestinal ischemia blood supply back to normal as soon as possible, play the role of physical therapy; while the application of metronidazole and retained anti-inflammatory effect of intestinal lavage . The success of children in this group are out-patient reduction observed after 4 ~ 6h water or breast milk. Merge the flu, enteritis, dehydration and other complications were symptomatic treatment given to patient observation room, hospital treatment for the majority of children from