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SM ISO690:2012 PETREA, Alecu. Early diagnosis of intestinal intussusception in the new-born babies and infants
. In: Analele Ştiinţifice (Asociaţia Chirurgilor Pediatri Universitari din RM) , 2011, nr. XV, pp. 11-16. ISSN 1857-0631. |
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Analele Ştiinţifice (Asociaţia Chirurgilor Pediatri Universitari din RM) | ||||||
Numărul XV / 2011 / ISSN 1857-0631 | ||||||
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Pag. 11-16 | ||||||
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Rezumat | ||||||
mary
Intestinal
intussusception
can
be
regarded
today
as
a
classical
problem,
although
largely
solved.
All the experts were concerned to know this disorder, so that they can establish an early diagnosis and start an appropriate treatment.Intussusception can be
seen in all ages, but more often in small children and especially infants between 4-10 months.(1,2) Infants are, usually, eutrofical. Intussusception occurs
when the child's condition seems perfectly allright, but a properly examined medical history will shows the existence of a coryza or diarrhea. (3,4)
In explaining the production of intestinal intussusception, the following determinant and contributing factors are considered responsible:
Favouring factors:
- Abnormalgrowth ofECSC-colic region;
- ECSC-delay insetting of the colon;
- Change of diet;
- Seasonal diarrhea that causes mesenteric adenopathies generating vasomotor disturbances.(4,5)
Determinant factors:
- The intestinal peristalsis explained by Reilly by allergising the mesenteric lymphs with bacterial or viral toxins. This allergic reaction can cause a
tumoral ulcerative-necrotic mesenteric adenopathy, and vascular disorders with transudate in the peritoneal cavity.(6)
In establishing the early diagnosis an important role is played by clinical examination and laboratory examinations that include: ultrasound,
Doppler ultrasound, x-ray, with contrast barium enema, computed tomography.
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Cuvinte-cheie intussusception, early diagnosis, laboratoryexamination, mesentericlymph nodes |
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