INTUSSUSCEPTION AND THE DIAGNOSTIC-VALUE OF TESTING STOOL FOR OCCULT BLOOD

被引：19

作者：

LOSEK, JD

FIETE, RL

机构：

[1] Department of Pediatrics, Medical College of Wisconsin, Children's Hospital of Wisconsin, Milwaukee, WI

来源：

AMERICAN JOURNAL OF EMERGENCY MEDICINE | 1991年 / 9卷 / 01期

关键词：

INTUSSUSCEPTION; DIAGNOSIS; OCCULT BLOOD IN STOOLS;

D O I：

10.1016/0735-6757(91)90002-2

中图分类号：

R4 [临床医学];

学科分类号：

1002 ; 100602 ;

摘要：

A retrospective review was performed to determine the diagnostic value of testing for occull blood in stool of children suspect for intussusception. Ninety-six children had barium enema studies for suspected intussusception. Of the 57 children who had barium enema confirmed intussusception, 29 did not have history or physical findings of gross blood per rectum. Stool was tested for occult blood in 16 of these 29 patients, and 12 (75%) were positive. In comparison, three (20%) of the children who did not have intussusception had stool positive for occult blood. Stool with occult blood was significantly associated with intussusception (P < .002). The only other clinical factor significantly associated with intussusception was abdominal mass (P < .02). Vomiting, apisodic Irritability, poor feeding, abdominal pain and lethargy were not significantly different in the two groups. In conclusion, the authors suggest stool testing for occult blood when evaluating children who present with non-specific signs and symptoms supportive of intussusception. © 1991.

引用

页码：1 / 3

页数：3

共 18 条

[1]

Fanconi, Berger, Rickham, Acute intussusception: A classic clinical picture, Helv Paediat Acta, 37, pp. 345-352, (1982)

[2]

Gierup, Jorulf, Livaditis, Management of intussusception in infants and children: A survey based on 288 consecutive cases, Pediatrics, 50, pp. 535-546, (1972)

[3]

Larsen, Miller, Clinical aspects of intussusception, Am J Surg, 124, pp. 69-71, (1972)

[4]

Ein, Stephens, Intussusception 354 cases in 10 years, Journal of Pediatric Surgery, 67, pp. 16-27, (1971)

[5]

Wayne, Campbell, Burrington, Et al., Management of 344 children with intussusception, Radiol, 107, pp. 597-601, (1973)

[6]

Pollet, Intussusception: A study of its surgical management, Br J Surg, 67, pp. 213-215, (1980)

[7]

Gross, Ware, Intussusception in childhood Experiences from 610 cases, New England Journal of Medicine, 239, pp. 645-652, (1948)

[8]

Hutchinson, Olayiwola, Young, Intussusception in infancy and childhood, British Journal of Surgery, 67, pp. 209-212, (1980)

[9]

Rosenkrantz, Cox, Silverman, Et al., Intussusception in the 1970's: Indications for operation, J Pediatr Surg, 12, pp. 367-373, (1977)

[10]

Eklof, Hartelius, Reliability of the abdominal plain film diagnosis in pediatric patients with suspected intussusception, Pediatr Radiol, 9, pp. 199-206, (1980)

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