肚子疼，或abdominal pains, are common in early childhood. Many times, when your little one has a stomachache, you can chalk it up to a stomach bug, gas orconstipation—even nerves. Other times, however, stomach pains – especially painful ones that come on suddenly – can be more worrisome.
While sudden, painful stomach pains could be related to conditions like appendicitis or an infection, there’s another potential cause you may have never heard of that is common in young children: intussusception.
肠套叠是什么?
如果您从未听说过这种医疗状况，那么您并不孤单。许多人从未听说过肠衣，但这是幼儿时期腹部紧急情况的最常见原因，尤其是不到两岁的儿童。
“Intussusception is a form of intestinal blockage where a loop of the bowel (intestine) telescopes, or slides inward, into another portion of the bowel preventing food from passing through the intestine,” saidSwati Kolpuru, MD, a pediatric gastroenterologist withBanner Children’s Specialists Gastroenterology Clinicin Mesa, AZ. “This is a serious condition as it can cut the blood supply to the bowel causing tissue damage, infection and internal bleeding.”
Read on to learn four important things about intussusception.
1.大多数情况下没有真正的原因
在大多数肠sect缩的情况下，没有明显的触发因素会引起它。但是，在某些情况下，可能会跟随感冒，流感或病毒感染。
Kolpuru博士说：“证据表明，病毒感染可能起作用，因为它们可能刺激肠道中免疫系统的组织和器官的淋巴系统和器官。”“这可以使肠道肿胀的淋巴结使肠道肿胀并导致一部分肠道被拉入另一个。”
In other cases, a polyp, cyst or tumor in the bowel can lead to intussusception.
2.剧烈的疼痛可能会消失并回来
肠se头非常痛苦，常常会突然发生。科尔普鲁博士说：“通常，婴儿或蹒跚学步的人会突然发作或严重的胃部疼痛以及响亮，无法降低的哭泣。”“他们可能会将膝盖拉向胸部或胃，而且他们的脸常常会变白。”
However, you may notice the pain comes and goes at first. “These episodes usually occur in 15- to 20-minute intervals in the beginning and become more frequent and severe over time,” Dr. Kolpuru said.
Additional signs to watch out for are:
- Vomiting:Your child’s throw up may be clear in the beginning and bilious, a yellow-green or dark green fluid, as the bowel obstruction worsens.
- Bloody, jelly-like stools:Your child’s poopmay appear like raspberry or currant jelly due to the mixture of mucus in the blood.
- Swollen abdomen:You may be able to feel a sausage-shaped mass in their stomach.
- Change in behavior:Your child may behave normally between episodes but becomes tired and is less alert as intussusception progresses.
3. Intussusception requires immediate medical attention
“Intussusception is a medical emergency that requires urgent attention,” Dr. Kolpuru said. “If left untreated, it can lead to a life-threatening condition called peritonitis, severe infection and shock.”
肠套伤的诊断最常是在身体检查后进行的imaging tests，例如超声波和X射线，以更好地看内部。
如果您的孩子没有肠损伤的证据，则您的孩子可能不需要手术。科尔普鲁博士说：“在许多情况下，可以使用静液压（流体）压力或气动（空气）压力来推动肠衣的肠套门。”
Your provider will place a soft, catheter-like tube in your child’s rectum and use air or a contrast fluid, such as barium, to create pressure within the intestine and un-telescope and relieve the obstruction.
If your child’s intestine is torn and they are too sick for an enema, surgical treatment may be required to repair and push the intestine back into place or to remove a part of the bowel. “If part of the bowel has been damaged due to lack of blood flow, that part may need to be removed and the healthy ends reattached,” Dr. Kolpuru said.
Once the intussusception is fixed, your child will gradually recover.
4.Intussusception can sometimes happen again
Most children do well after treatment, however, intussusception could happen again. You’ll need to watch for symptoms. Most children outgrow the risk of intussusception and there should be no further issues.
最后一句话
肠套肿是幼儿期腹部紧急事件的常见原因，尤其是两岁以下的儿童。当肠道（肠）的一部分在另一部分内滑动时，就会发生这种情况。肠子可能被卡住，造成阻塞，如果不快速治疗，可能会造成严重伤害。
Seek immediate help for your child when you notice the signs. “Most often with early interventions, complications can be avoided,” Dr. Kolpuru said.
To find an紧急护理或者emergency roomnear you, visit bannerhealth.com.
