3-year-old baby intussusception symptoms?

summary

Intussusception refers to a segment of intestinal tube inserted into its connected intestinal cavity, which leads to obstruction of intestinal contents. Acute intussusception is common in clinic, while chronic intussusception is usually secondary. Acute intussusception is most common in infants, especially in infants of 4-10 months old. The incidence of acute intussusception decreases year by year with the increase of age after 2 years old. The ratio of male to female was 2-3:1. Intussusception is common throughout the year, and the incidence rate is highest in late spring and early summer. It may be related to upper respiratory tract infection and viral infection. In China, the incidence rate is high, which accounts for the first place in infant intestinal obstruction. 3-year-old baby intussusception symptoms? Let's talk about it.

3-year-old baby intussusception symptoms?

(1) Paroxysmal crying: it is common for healthy and obese infants in the past to have paroxysmal and regular crying, which lasts for about 10-20 minutes, accompanied by disorderly movements of hands and feet, pale complexion, refusal to eat, abnormal pain, and then 5-10 minutes or more of temporary quiet, and so on. This kind of paroxysmal crying is consistent with the interphase of intestinal peristalsis. Because the intestinal peristalsis will push forward the intussusception segment, the mesentery will be pulled, and the intussusception sheath will produce strong contraction, resulting in severe pain. After the peristaltic wave, the child will become quiet. In the late stage of intussusception complicated with intestinal necrosis and peritonitis, the children showed malaise and low reaction.

(2) Vomit for milk and milk or other food, later turned to bile like matter, 1-2 days later turned to stinky intestinal content, indicating serious illness.

(3) Abdominal mass in the intermission of two crying abdominal examination, can be touched in the right upper abdominal liver sausage like, slightly active and mild tenderness of the mass, the right lower abdomen generally has a sense of emptiness, the mass can move along the colon, serious cases can be in the anus digital examination, in the rectum to touch the cervix like mass, that is, intussusception head.

matters needing attention

If intussusception is known to reach the ileocecal region by enema, Maison's incision can also be used. The intussusception mass was exposed after laparotomy, and the intestinal necrosis was examined. If there was no intestinal necrosis, the intussusception was reconstructed by pressing along the colon frame. After the reduction of intussusception, carefully check whether there is necrosis of the intestinal tube, whether there is rupture of the intestinal wall, whether there is organic disease of the intestinal tube itself, etc. if there is no such sign, remove the appendix, put the intestinal tube into the abdominal cavity, and suture the abdominal wall layer by layer. The necrotic intestinal segment resection and anastomosis should be performed in the cases of irreducible and necrotic bowel.