The 8-year-old girl had repeated nausea, vomiting and stomachache, which turned out to be caused by the "little monster".
Eight-year-old Xiao an suddenly developed abdominal pain. The receiving doctor examined Xiao an. After admission, the pediatric surgery team according to Xiao Anan's medical history and condition, "the intussusception of the child is longer. It was likely to be complicated with organic intestinal lesions, so it was decided to carry out emergency surgery. Li Yufeng, director of pediatric surgery, and Huang Wenpeng, the attending physician, performed the operation on Xiao Anan under pediatric general anesthesia. After successful reduction, it was found that there was a tumor in the jejunum and ileum. Xiao Anan has recovered well under the care of the pediatric surgery team. And cause the intestinal contents to pass through the barrier. Intussusception accounts for 15% to 20% of intestinal obstruction, caused by loss of rhythm of primary intestinal peristalsis or intestinal spasm. Secondary is mostly caused by polyps and tumors. The occurrence of intussusception in children over 1 year old is often caused by intestinal organic lesions. The occurrence of intestinal intussusception in Xiaoan is caused by these two tumors, and it is not uncommon for children to have tumors and tumors.
Source: Guilin Evening News
Recently, in the pediatric surgery ward of Guilin Maternal and Child Health Hospital, Xiao an (a pseudonym) smiled brightly and said happily, "I can finally go home and play with other children!" Before that, Xiao an suffered from repeated nausea, vomiting and stomachache.
In early December, 8-year-old Xiao Anan suddenly developed abdominal pain with paroxysmal attacks, which frightened Xiao Anan's parents. So on December 7, Xiao Anan, accompanied by her parents, went to Guilin Maternal and Child Health Hospital to see a doctor. The receiving doctor examined Xiao Anan. Abdominal B-ultrasound revealed that the heterogeneous mass in the left upper abdomen and left middle abdomen was considered as "intussusception." Xiao Anan's parents hospitalized the child.
After admission, the pediatric surgery team discussed according to Xiao Anan's medical history and condition that the child's intussusception was longer, and more than one intussusception was considered, which was likely to be complicated with intestinal organic lesions and had surgical exploration indications, so they decided to carry out emergency surgical exploration. After improving the preoperative examination, making good preparation before operation, and communicating with the family members, the department of anesthesiology and the operating room cooperated closely. Li Yufeng, director of pediatric surgery, and Huang Wenpeng, the attending physician, performed the operation on Xiao an under general anesthesia in children, and entered the abdominal cavity. Ileum and jejunum intussusception were reduced one by one.
After successful reduction, it was found that there was a tumor in jejunum and ileum, so it was removed completely, and the operation was completed successfully. the whole operation lasted 2 hours, and the intraoperative blood loss was only 10ml. The postoperative pathological results were jejunal and ileal polyps. At present, Xiao an has recovered well and discharged safely under the care of the pediatric surgery team.
It is understood that intussusception refers to the insertion of a section of the intestinal tube into the intestinal cavity connected to it, resulting in an obstacle to the passage of intestinal contents. Intussusception accounts for 15% to 20% of intestinal obstruction. There are two types: primary and secondary. Primary peristalsis of the intestinal canal is caused by loss of rhythm or intestinal spasm, which is more common in infants under 1 year old. Secondary is mostly caused by polyps and tumors, and it is more common in older children or adults. Director Li Yufeng reminded that the occurrence of intussusception in children over 1 year old must be paid attention to. Most of the time, it is often caused by organic intestinal lesions, and the occurrence of intussusception in Xiaoan is caused by these two tumors.
Li Yufeng said that in clinical practice, it is not uncommon for children to have tumors and tumors. in daily life, parents should pay more attention to their children's physical condition, and when their children have unexplained pain, they should seek medical treatment as soon as possible, and there may be other causes behind the pain. find the cause in time and treat it as soon as possible. In daily life, keep children away from pollution, ensure their living environment, cultivate good living and eating habits, guide children to eat less cold drinks, fried, spicy and stimulating foods, strengthen exercise and reduce adverse factors affecting their health.
In view of the hot issues that parents are concerned about when children are infected with novel coronavirus and what situation requires immediate medical treatment, Li Yufeng cautioned that under normal circumstances, children infected with novel coronavirus can first stay at home for observation, but the immunity of children is low. It may have the characteristics of acute onset, rapid change of condition and sudden aggravation. It is recommended to go to the hospital immediately if the following conditions occur: the body temperature is continuously higher than 38.5 ℃ or the heart rate continues to increase for more than 3 days. Infants and young children with drowsiness, refusing to eat, diarrhea or vomiting; poor diet or diarrhea for more than 2 days, when children are found to have dry lips, rash, reduced urine or poor spirit, they should seek medical attention immediately; fever is accompanied by obvious dyspnea; primary underlying diseases are significantly aggravated; a very small number of children may develop fever with skin rash, conjunctivitis, acute gastrointestinal symptoms and so on. Once it happens, the condition can deteriorate sharply in a short period of time and need to see a doctor in time.
Source | correspondent Mo Huini Li Qiuying