It is relatively safe to use air enema to reduce intussusception, and the common technology is widely used in clinical practice and is very mature, but it requires time based on patient conditions. For example, within a certain number of hours a myocardial infarction must be treated urgently, otherwise the effect will be greatly reduced or even ineffective.
Specifically, statistics on clinical cases were conducted. Data show that this method has the highest success rate when used within 24 hours of a child's attack, which can reach more than 90%. More than 24 hours, there will be a certain effect within 48 hours. After 48 hours, the folded part of the intestine is almost necrotic. At this time, the insufflation will basically have no effect and surgery will be required. So she, Xie Wanying, said she should hurry up and seize the last window within 48 hours.
The problem is that it is close to 48 hours. The chance of intestinal necrosis is high and the success rate of air enema is low. It is a big risk to try this for children.
This is not to say that air enemas are without dangers. The most dangerous thing about air enema is that it is like inflating the rubber to inflate it. The only way to inflate the rubber is to add gas and increase the atmospheric pressure. When the pressure is increased, the tube may explode in the tube cavity. Necrotic intestines are difficult to bulge and have a greater chance of bursting. Burst of the intestines in the human body is intestinal perforation and massive abdominal bleeding.
Well, doctors know about this scary complication, so how about turning the pressure down hard. There is also a tricky complication waiting for you, intussusception.
Eighty percent of laypeople find this inconceivable: You are using this method to solve intussusception. How can it cause intussusception?
Intestines are far more complex than rubber tubes. The rubber tube has only one skin and is flat, the intestines are not.
Using the branching histological divisions in anatomy, the structure of the intestine can be divided into mucosa, muscularis and serosa. The most complex mucosal layer has an annular wrinkled wall structure. Simply put, it is called wrinkled, which is a normal physiological phenomenon.
Intestinal mucosal wrinkles are a physiological structure that the human body naturally evolved to save the time for food to pass through the intestines. The purpose is to allow the intestines to absorb the nutrients of food.
If you think about it, if the food slides through like a smooth rubber tube and the food liquid passes through the intestines too quickly, it will be difficult for the human body to absorb the nutrients of the food and water.
When clinically examining the digestive tract, if you pay attention to the examination report, you can see the doctor's description of the intestinal wrinkles. If there is a problem with the annular wrinkle wall, it means that part of the cause of the patient's indigestion lies here.
Because the intestines have such special physiological structures, if the invaginated intestine cannot be pushed back after inflating the air into the intestine, it may cause functional disorders in other intestinal segments and cause intussusception in other parts. Having a lot of wrinkles in the intestines is another potential factor that makes intussusception more likely.
In a nutshell, as long as the probability of intestinal necrosis is high and the patient cannot be pushed with air, there will be many complications, let alone cure. The probability of intestinal necrosis is directly proportional to the onset time of the child.
From this point of view, the success rate of air enema for this child is not very high, and the doctor's focus must remain on complications. He is not a specialist in pediatric general surgery, has handled few cases, and has no experience in handling such cases. Knowing that there is this method, I am not sure that the problems that arise during the treatment can be solved, so I have no choice but to give up.
It is better to do nothing than risk the child's life. If you do this, complications may result in medical malpractice. The doctor would never dare to take this risk.
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