○ The condition is dangerous and needs prompt treatment, otherwise it may develop into intestinal necrosis and even life-threatening.
The fat boy who looks dignified and strong has always been in good health and seldom cries. One day, his temper suddenly changed. He not only wailed, but also desperately curled his legs to his abdomen, looking miserable. At this time, parents should be careful. Babies may suffer from dangerous intussusception. Don't treat it as an ordinary stomachache. Experts remind parents that children's intussusception mostly occurs in infants under two years old, so we must take the time to treat it, otherwise it may develop into intestinal necrosis and even endanger life. Because of its various causes, parents are advised to pay more attention to the various changes that have taken place in their babies, especially if a healthy baby has paroxysmal crying, vomiting, abdominal mass, jam-like bloody stool and other symptoms, it should be highly vigilant.
situation
The baby's temper suddenly changed, and the abdominal lump was like "sausage"
Ten-month-old Doudou is white and fat. He is in good health and seldom cries. But at noon last Sunday, his temper suddenly changed and he kept crying. No matter how her mother coaxed her, she was "ungrateful" and stopped crying for half an hour. Later, she pulled some jam-like stools with obvious blood. Her parents were shocked and picked him up and rushed to the hospital.
Arrived at the hospital, Doudou began to vomit again. The sharp cry and the desperate bending of his legs towards his abdomen made the doctor very alert. When he touched his stomach, he vaguely had a lump like sausage or banana. These symptoms are very similar to those of intussusception in children. The doctor dare not be careless. He told his parents that it would be very dangerous to deal with the change of the condition if intussusception really happened, and suggested that they immediately take the baby to a hospital with pediatric surgery, so that he can make an X-ray diagnosis and make "air * * *" under fluoroscopy. If it is delayed for a long time, or effective treatment is not available, intestinal ischemia or even necrosis may occur, and intestinal resection is necessary.
My parents were so frightened that they picked up Doudou and rushed to Guangdong Maternal and Child Health Hospital. The pediatric surgeon in this hospital didn't give Doudou an X-ray bill, but only did a simple B-ultrasound examination, and was soon diagnosed as intussusception. Fortunately, early detection and timely treatment have not caused symptoms of intestinal necrosis in peas. Through B-ultrasound and controllable water pressure, the doctor quickly replaced the intussuscepted intestines for Doudou, and Doudou was finally out of danger.
remind
Intussusception is easily misdiagnosed as enteritis.
"In fact, intussusception on peas is one of the most common acute abdomen in children." According to Professor Yu Gang, director of pediatric surgery in Guangdong Maternal and Child Health Hospital, intussusception mostly occurs in infants under two years old, and the incidence rate of male infants is twice that of female infants. Most intussusception is difficult to find a clear cause, so it is called "idiopathic" disease in medicine. It may be due to various unknown reasons such as virus, drug treatment and even improper diet that the baby's intestinal peristalsis is uncoordinated and difficult to prevent.
A clinical study found that many intussuscepted children are in good health and overweight. This kind of baby has high gastrin secretion, which is beneficial to digestion and nutrient absorption, but some people think that high serum gastrin value may be one of the inducing factors of intussusception. Another clinical observation pointed out that about 60% of intussusception children are artificially fed, so it is suspected that eating milk may also be one of the inducing factors of intussusception.
"Some babies have early symptoms such as upper respiratory tract infection, enterovirus infection and diarrhea before onset, which are easily misdiagnosed as enteritis." Professor Yu pointed out that due to the acute intussusception in children, in theory, it can be treated more than 48 hours before the intussusception. However, after more than 48 hours, the baby is likely to have symptoms of peritonitis. If it develops further, intestinal necrosis will even be life-threatening, and surgery is necessary. In order to avoid surgery, parents should pay more attention to and observe the various changes that have taken place in their babies.
A healthy baby should be more vigilant if:
1。 Abdominal pain and crying: the baby suddenly has intermittent abdominal cramps, obviously restless, and his legs bend involuntarily to the abdomen, accompanied by paroxysmal crying;
2。 Vomiting: at first, it was milk and food, and even bile that was badly vomited;
3。 Jam-like bloody stool: generally it is dark red jam-like stool, but also it can be fresh bloody stool or bloody water, which generally has no odor; If intussusception is suspected and there is no blood in the stool, a digital rectal examination can be done, and if blood is detected, the diagnosis can also be made. The reason of hematochezia is that the blood circulation of the sheath intestinal wall is blocked, which makes the mucosa ooze blood, mix with intestinal mucus and discharge with feces;
4。 Abdominal lump: a small sausage and banana-like lump can be felt in the abdomen, which is the most diagnosable sign.
Ultrasound-guided hydrotherapy is safer.
"Intussusception in children is dangerous and needs rapid treatment, otherwise it may develop into intestinal necrosis and even life-threatening." According to Professor Yu, as long as it is found early, surgery is generally not needed. In the past, the commonly used treatment method in China was X-ray-guided air reduction. When using this method, both the child and the doctor received a lot of X-ray irradiation, which not only caused pain to the child, but also had a low success rate of reduction. With the improvement of diagnostic methods, hospitals with conditions can use cheaper and safer B-ultrasound diagnosis to guide hydraulic reset, and the success rate of reset is as high as 96%.
However, for children with intussusception for more than 48~72 hours or with serious condition and suspected intestinal perforation or necrosis, surgical treatment or even partial resection of necrotic intestine is inevitable.
Take preventive measures, pay attention to diet and keep warm.
Although children's intussusception is difficult to prevent, parents can still reduce the risk of illness by doing a good job in preventing diseases such as baby's diet and warmth.
1。 Diet: Don't rush to add complementary food.
In addition to paying attention to daily food hygiene, you should also regularly and quantitatively feed your baby. When you need to add complementary food, you should do it step by step, and don't suddenly change your child's diet structure; Now the weather is getting hotter and hotter, but parents should also let their babies eat less cold food to prevent their babies from abnormal intestinal peristalsis.
2。 Keep warm: change clothes in time according to the temperature.
When entering and leaving the air-conditioned room in summer, it is necessary to increase or decrease the baby's clothes in time, especially when sleeping with the air conditioner on at night, and pay more attention to keeping the baby's abdomen warm, so as to avoid catching cold or even diarrhea and other symptoms that affect the normal functioning of the intestinal function. When the seasons change, you should add clothes to your baby to keep warm according to the weather changes.