English小儿肠套叠2课件.ppt

contents: Introduction Etiology Pathology Clinical Manifestations Therapeutic management Nursing Problems and Nursing Intervention 1.Age: 80%2years old, most common in infants aged 4-10 moths. 2.Sex: the male-to-female ratio is approximately 3 : 1 3.Season：seasonal peak occurring in spring and summer Pathology the proximal portion of bowel (intussusceptum) Chronic Intussusception Laboratory Examinations 1.Abdominal ultrasound 2.X-ray Air clysis with the pressure of 50-60mmHg, the film shows calabash-shaped, forcipate-shaped and dumbbell-shaped。 Therapeutic Management Nonsurgical therapy - Air clysis 1.Indications: Intussusception presenting 48 hours, Good general appearance, Without abdominal distention, high temperature and toxicosis. 2.equipments: an auto pressure control machine, a Foley catheter 4.?Signs of complete reduction free flow of air into several loops of small bowel with simultaneous expulsion of feces stop crying, be quiet. disappear of the abdominal mass. carbon test: take 0.5-1g activated carbon orally, appearing in stool 6-8 hours later. Surgical Therapy 1.indication: failed in air enema; prolonged intussusception 48hours, suspicious of developing shock, intestinal perforation, peritonitis, and intestinal necrosis. 2.praparation before operation： fasting, inserting nasogastric tube, intravenous infusion, correcting imbalances of fluid, electrolyte and acid-alkali, oxygen therapy, reducing temperature. 3. surgical intervention: manual operative reduction, resection of the intussusception with end-to –end anastomosis Nursing Care Nursing assessment 1.sympton and signs 2.general appearance 3.health history, feeding history * Nursing Care of Children with Intussusception Jiang Xiaoping The Children’s Hospital of Chongqing Medical University A letter from Internet Dear Doctor,　 Last night, my 7-month-old son cried loudly and drew his tiny legs up to his chest as we tried to soothe him. His crying was mor