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1、NursingCareofChildrenwithIntussusceptionJiangXiaopingTheChildren’sHospitalofChongqingMedicalUniversityAletterfromInternetDearDoctor,Lastnight,my7-month-oldsoncriedloudlyanddrewhistinylegsuptohischestaswetriedtosoothehim.Hiscryingwasmoreurgentthanbefore
2、,andhismoodmuchmoreirritable.About10minuteslater,hestopcryingandseemfine.Butcryingrecursandbecomesstrongerlater.WhenIchangedhisdiaper,Inoticedthathissmallbellywasdistended.Hedidnotsleepinthewholenight,upto8’clockthismorning,6timesofvomitinghadoccurred.
3、Someredjellylikesubstanceoccurredinhisstoolthismorning.Whathappenedtomybaby?WhatshouldIdonow?Ineedyourhelp!Sincerely,Aanxietymotherlearningoutcomes:1.Canrecognizethecharactersofclinicalmanifestations2.Canknowthetherapeuticmanagement3.Cangivethenursingi
4、ntervention4.Canunderstandthepathologycontents:IntroductionEtiologyPathologyClinicalManifestationsTherapeuticmanagementNursingProblemsandNursingIntervention1.definitionIntussusceptionisaninvaginationortelescopingofoneportionoftheintestineintoanother.in
5、troductionItisoneofthemostfrequentcausesofintestinalobstructionduringinfancy.1.Age:80%<2yearsold,mostcommonininfantsaged4-10moths.2.Sex:themale-to-femaleratioisapproximately3:13.Season:seasonalpeakoccurringinspringandsummer2.IncidenceEtiologyPrimary:95
6、%,butthecauseisunknown.Maycorrelationwithmoremobilityandlessfixationofintestinalmesentery2.Secondary:5%,relatedtointestinalpolypiortumors3.Predisposingfactors:causedbydisorderoftheintestinalperistalsis,suchasDiseases:gastroenteritis,diarrhea,fever,etal
7、Dietaryalteration:complementarysolidfoodVirusinfections:adenovirus,rotaviruses,reoviruses,echovirusesPathologytheproximalportionofbowel(intussusceptum)theadjacentdistalbowel(intussuscipiens)ThemesenteryoftheintussusceptumiscompressedTheensuingswellingo
8、fthebowelwallquicklyleadstoobstruction.Venousengorgementandischemiaoftheintestinalmucosacausebleedingandanoutpouringofmucous,whichresultsintheclassicdescriptionofredcurrantjellystool.ClinicalManifestationAcuteintussusceptionChronicintus