{"nowTime30":1782328259630,"lyBarModerator":null,"metaSearch":{"description":"男,2岁3个月。小儿疝气，疝气下来的时候在阴囊里面，两边都有疝气，什么时候能做手术","keywords":"小儿疝气，什么时候能手术_洞医","title":"小儿疝气，什么时候能手术_洞医","channels":null},"identificate":{"id":null,"isDel":0,"createAt":0,"createBy":null,"createName":null,"updateAt":0,"updateBy":null,"updateName":null,"userId":null,"realName":null,"certifiedStatus":0,"phone":null,"email":null,"hospitalId":null,"departmentId":null,"illName":null,"illId":null,"cardType":0,"cardImg":null,"idCardImg":null,"identityType":0,"stop":0,"departmentName":null,"hospitalName":null},"canEdit":null,"adList":[],"lyBar":{"id":"2513","isDel":0,"createAt":1483430539928,"createBy":"system","createName":"system","updateAt":0,"updateBy":null,"updateName":null,"userId":null,"name":"小儿疝气","type":102,"twoCode":"http://zhao01.com/zly_img/zly_wx.jpg","image":null,"provinceId":null,"cityId":null,"illId":"731bb470bb5f11e6a61c00163e04584d","hospitalId":null,"keyWord":null,"totleTopic":0,"barDesc":null,"discussBarType":null,"metaSearch":"{\"channels\":{\"病友社区\":{\"description\":\"为病友提供:疝气论坛_病友论坛_病友交流平台，让病友在便捷的求医路上不花一分冤枉钱。\",\"keywords\":\"疝气论坛_病友论坛_病友交流平台\",\"title\":\"疝气论坛_病友论坛_病友交流平台\"},\"治疗\":{\"description\":\"为您提供:小儿疝气治疗方案_小孩疝气治疗最佳时间等相关信息，让病友在便捷的求医路上不花一分冤枉钱。\",\"keywords\":\"小儿疝气治疗方案_小孩疝气治疗最佳时间\",\"title\":\"小儿疝气治疗方案_小孩疝气治疗最佳时间\"},\"症状\":{\"description\":\"为您提供:小儿疝气有哪些症状_女孩小儿疝气的症状等相关信息，让病友在便捷的求医路上不花一分冤枉钱。\",\"keywords\":\"小儿疝气有哪些症状_女孩小儿疝气的症状\",\"title\":\"小儿疝气有哪些症状_女孩小儿疝气的症状\"},\"并发症\":{\"description\":\"为您提供:小儿疝气对孩子的影响_小儿疝气的危害有哪些等相关信息，让病友在便捷的求医路上不花一分冤枉钱。\",\"keywords\":\"小儿疝气对孩子的影响_小儿疝气的危害有哪些\",\"title\":\"小儿疝气对孩子的影响_小儿疝气的危害有哪些\"},\"饮食\":{\"description\":\"为您提供:疝气吃什么食物会好_小儿疝气吃什么好等相关信息，让病友在便捷的求医路上不花一分冤枉钱。\",\"keywords\":\"疝气吃什么食物会好_小儿疝气吃什么好\",\"title\":\"疝气吃什么食物会好_小儿疝气吃什么好\"},\"病因\":{\"description\":\"为您提供:小儿疝气是怎么引起的_小儿疝气是怎么造成的等相关信息，让病友在便捷的求医路上不花一分冤枉钱。\",\"keywords\":\"小儿疝气是怎么引起的_小儿疝气是怎么造成的\",\"title\":\"小儿疝气的形成原因_小儿疝气是怎么造成的\"},\"病友求助\":{\"description\":\"为您提供:幼儿疝气的治疗方法_治疗小儿疝气的偏方等相关信息，让病友在便捷的求医路上不花一分冤枉钱。\",\"keywords\":\"幼儿疝气的治疗方法_治疗小儿疝气的偏方\",\"title\":\"幼儿疝气的治疗方法_治疗小儿疝气的偏方\"},\"预防\":{\"description\":\"为您提供:小儿疝气预防与治疗方法_怎么预防小儿疝气等相关信息，让病友在便捷的求医路上不花一分冤枉钱。\",\"keywords\":\"小儿疝气预防与治疗方法_怎么预防小儿疝气\",\"title\":\"小儿疝气预防与治疗方法_怎么预防小儿疝气\"}},\"description\":\"为您提供:小儿疝气是怎么引起的、小儿疝气怎么治疗、小儿疝气最佳治疗时间、家长们的求医心得等相关信息，让病友在便捷的求医路上不花一分冤枉钱。\",\"keywords\":\"小儿疝气是怎么引起的_小儿疝气怎么治疗_小儿疝气最佳治疗时间\",\"title\":\"小儿疝气是怎么引起的_小儿疝气怎么治疗_小儿疝气最佳治疗时间\"}","adInfo":null},"isLikeThisTopic":null,"lastTopics":[{"id":"7325","isDel":0,"createAt":0,"createBy":null,"createName":null,"updateAt":0,"updateBy":null,"updateName":null,"userId":null,"title":"小儿疝气该如何预防","content":"

\"小儿疝气该如何预防\" 

　　小儿疝气的危害可大可小，小儿腹股沟疝气首先影响患者的消化系统，从而出现下腹部坠胀、腹胀、腹痛、便秘、吸收功能差、易疲劳和体质下降等症 状。又由于腹股沟部与泌尿生殖系统相邻，可因疝气的挤压而影响生殖系统的正常发育。还由于疝囊内的肠管或大网膜易受到挤压或碰撞引起炎性肿胀，致使疝气回 纳困难，导致疝气嵌顿，引起腹部剧痛以及肠梗阻、肠管坏死等严重并发症，不及时处理还有可能危及生命。所以及时发现、及时处理非常关键。

 

　　记者采访彭林了解到，小儿疝气是由于先天发育不足导致的，几乎没有预防的方法。”但是小孩出生后，家长也有些方面要提高警惕。婴儿时期，不要将 小孩的腹部裹得太紧，以免加重腹内压力。在饮食方面，尽量给小孩吃一些易消化、含纤维素多的食物，以保持大便通畅。孩子大便干燥时，应采取通便措施，不要 让孩子用力解大便。此外，还要尽量避免孩子大声啼哭、大声咳嗽，防止腹压升高。患咳嗽的小孩要在医生的指导下适当吃些止咳药。。

 

　　彭林解释，小儿疝气主要的诱因就是因为腹压太大，所以一切可以避免腹压增大的方法都是可以预防小儿疝气的。对没有患小儿疝气的孩子，父母要尽量做到以上几点，对已经发生小儿疝气的，家长更应该从饮食等方面注意。


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\"小儿疝气要吃什么好呢\"

小儿疝气俗称脱肠，是小儿普通外科手术中最常见的疾病。当孩子患有疝气时该吃什么好呢？

1、竹笋和芹菜

 

　　竹笋和芹菜对于疝气患儿来说是很好的食物。竹笋甘寒通利，其所含有的植物纤维可以增加肠道水分的贮留量，促进胃肠蠕动，降低肠内压力，减少粪便粘度，使粪便变软利排出，用于治疗便秘，预防肠癌，有助于增强机体的免疫功能;竹笋还含有一种白色的含氮物质，构成了竹笋独有的清香，具有开胃、促进消化、增强食欲的作用，可用于治疗消化不良。芹菜含有大最的粗纤维，可刺激胃肠蠕动，促进排便，避免疝气用力过大，加重病情。

 

　　2、淡盐水

 

　　家长可以给疝气患儿每天早晨空腹喝一杯淡盐水、睡前可以喝一杯蜂蜜，这样会保持排便的通畅，有助于缓解小肠气的症状。

 

　　3、酸奶

 

　　喝酸奶对于促进消化也有好处。酸奶是个好东西，可以多喝，但切记不要和碳酸饮料混着喝，避免产生胀气引起小腹病症加重小肠疝气。

 

　　4、其他补气食物

 

　　疝气患儿还可以多吃补气的东西，像扁豆、山药、鸡、蛋、鱼、肉等食物，另外有营养的东西也要多吃，这些食物能帮助腹壁快点长好。

 

　　疝气患儿饮食宜：家长还需注意疝气患儿的饮食要保持清淡。烹饪的时候家长要注意尽量做的清淡些，像茄子可以蒸熟然后做成茄子托儿，再加面粉伴着吃；;西红柿可以做成蛋汤等。

 

　　疝气患儿饮食忌：疝气患儿不能进食容易引起便秘、腹内胀气、或者过冷过热的食物。一些容易导致患儿过敏的食物也不能让孩子吃，以免孩子进食这些食物后刺激咽喉，引起咳嗽，导致腹部压力增大，引发疝气。


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\"小儿疝气的病因及其危害性疝气的病理病因\"

 

疝气又名小肠气，是腹内脏器由正常位置经腹壁上孔道或薄弱点突出而形成的包块。一般是咳嗽、便秘、生气、重体力劳动、排尿困难等因素引起腹腔压力突然增高冲破疝环腹膜所致。小儿常因啼哭引起。

 

疝气一般发生率为1-4%，男生是女生的10倍，早产儿则更高，且可能发生於两侧。小儿疝气有可能会在出生后数天、数月或数年后发生。通常在小孩哭闹、剧烈运动、大便干结时，在腹股沟处会有一突起块状肿物，有时会延伸至阴囊或阴唇部位;在平躺或用手按压时会自行消失。一旦疝块发生嵌顿(疝气包块无法回纳)则会出现腹痛、恶心、呕吐、发烧，厌食或哭闹、烦躁不安。

 

分类即水疝和小肠疝

 

小肠疝：分为直疝、斜疝、股疝、脐疝、白线疝、嵌顿疝、绞窄疝、切口疝等。

 

一般症状：站立时突出，仰卧后消失，按压即可回入腹腔。但嵌顿疝、绞窄疝则有疼痛感且很难推回腹腔。小肠疝若任其发展极易发生粘连和嵌顿，因此应及早接受治疗。

 

水疝：分为睾丸鞘膜积液和精索鞘膜积液。同时分为交通性与非交通性两种。

 

症状：逐渐增大，按压不可消失，无痛感。

 

疝气，即人体组织或器官一部分离开了原来的部位,通过人体间隙、缺损或薄弱部位进入另一部位。俗称“小肠串气”，有脐疝、腹股沟直疝、斜疝、切口疝、手术复发疝、白线疝、股疝等。疝气多是因为咳嗽、喷嚏、用力过度、腹部过肥、用力排便、妇女妊娠、小儿过度啼哭等原因引起。

 

因为男孩的睾丸是在出生前才通过腹股沟管降至阴囊的，随之下移的腹膜则形成鞘状突。若鞘状突在婴儿出生后还没有闭锁，或闭锁不全，反而成为较大的腔隙，腹腔内容物就会从这里突向体表，而形成疝气。又因为右侧睾丸下降比左侧略晚，鞘状突闭锁也较迟，故右侧腹股沟疝气较多。当然，女孩也可因腹壁薄弱形成疝气，只是发病率相对低一些。

 

小儿疝气发病初期，当幼儿平卧安静时肿物可消失，随着腹内压力的继续增高，肿物可下降到阴囊里。这时如果能解除腹内压增高的因素，并让患儿平卧，或轻轻地将肿物往腹腔方向推送，肿物则可通过睾丸下降时的那条通道返回到腹腔，肿物消失，这种情况称为可复性疝气。如果肿物不能返纳腹腔，就会出现腹痛加剧，哭闹不止，继而出现呕吐、腹胀、排便不畅等肠梗阻症状，在腹股沟或阴囊内可见椭圆形肿物，质地硬，触痛明显;嵌顿时间久者皮肤可见红肿，若长时间肠管不能回纳则有可能出现肠管缺血坏死等严重并发症。

 

 

因此，当父母发现孩子患有疝气时，应立即带孩子到正规医院就诊，6个月以下的患儿可暂不处理，但需密切观察;6个月以上的患儿如果疝块逐渐增大，或有嵌顿史者，则应抓紧时间、尽早进行彻底治疗。

 

疝气的危害

 

疝气首先影响患者的消化系统，从而出现下腹部坠胀、腹胀气、腹痛、便秘、营养吸收功能差、易疲劳和体质下降等症状。又由于腹股沟部与泌尿生殖系统相邻，所以老年患者易出现尿频、尿急、夜尿增多等膀胱或前列腺疾病; 小孩则可因疝气的挤压而影响睾丸的正常发育;而中青年患者则易导致性功能障碍。还由于疝囊内的肠管或网膜易受到挤压或碰撞引起炎性肿胀，致使疝气回纳困难，导致疝气嵌顿，以及肠梗阻、肠坏死、腹部剧痛等危险情况。


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在孩子出生后不久发现的，现在有鸡蛋大了，严重时要比鸡蛋还大，请问疝气好治吗？


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\"小儿疝气危害大需及时治疗\"

小儿疝气危害一、影响宝宝正常生活

 

虽然疝气发作的时候，鼓出物可以在休息后回位，但患者的正常生活还是会受到很大的影响的，他们的正常活动会受到影响，肠胃也会受到影响，如果不治疗，还会造成很大的危险，并不是不治疗也不会有影响的小病。

 

小儿疝气危害二、小儿疝气自愈概率低

 

小儿疝气自愈的概率十分之低，而且久不治疗危害极大，因此专家要是发现在小孩哭闹、剧烈运动、大便干结时，在腹股沟处会有一突起块状肿物，有时会延伸至阴囊或阴唇部位;在平躺或用手按压时会自行消失，最好警惕小儿疝气。

 

小儿疝气危害三、严重容易产生并发症

 

小儿疝气有发生急性并发症的可能，由于某次咳嗽、屏大便等用力使较多的肠段突出后不能回入腹腔，导致急性肠梗阻，引起剧烈疼痛，如不及时处理最终可引起肠坏死、穿孔乃至腹膜炎死亡等不良后果。

 

小儿疝气危害四、危及宝宝生命

 

无论是男孩还是女孩，得了疝气都是很严重的，疝气不仅会引起疼痛，还会有很多其他的影响，轻的影响消化，重的影响生育，甚至危及生命。

 

疝气本身并不会影响生育，但是疝气拖延时间长了不治疗会导致性器官正常发育，就有可能引起不育了。因为疝气是小肠进入阴囊附近，男性的阴囊正常情况下处于低温状态，小肠的温度却是37度左右，阴囊长期受高温影响，就有可能引起不育。

 

小儿疝气危害五、容易导致睾丸萎缩

 

小儿疝气，实际上就是阴囊和腹腔相通，腹腔内的水，大网膜和肠管、膀胱等和睾丸直接接触，使睾丸处在一个高温的环境。这就是小儿疝气要及早手术的最重要的原因。建议父母对于小儿疝气要尽早采取手术治疗。

 

小儿疝气危害六、影响宝宝发育

 

在消化系统受到影响的时候，孩子会出现恶心、呕吐、厌食、消化不良等症状，肠胃不舒服，孩子吃不好，营养也就跟不上了，这样孩子的正常发育就会受到影响。


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小儿疝气症状：小儿疝气通常在小儿哭闹、剧烈运动、大便干结时，在腹股沟处会有一突起块状肿物，有时会延伸至阴囊或阴唇部位；在平躺或用手按压时会自行消失。

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\"宝宝腹股沟疝气的症状治疗\"

腹股沟疝气是发生在宝宝生殖器周围的一种疝气，而疝气则是指宝宝身体的一个器官或部分组织移位后形成的凸出部分。疝气可以发生在腹股沟、腹部和横膈膜。除了腹股沟疝气，另一种最常见的小儿疝气是脐疝。

 

宝宝腹股沟疝气的原因

 

在胎儿发育时期，男孩的睾丸在腹部发育，然后在出生之前，一对睾丸通过腹股沟和腹部之间组织内的一个管道（称为“腹股沟管”）下降入阴囊。

 

对女孩子来说，卵巢也是这样通过腹股沟管下降入盆腔（骨盆）。然后宝宝体内这个穿过腹壁的通道就应该闭合了。

 

有大约5%的宝宝（大部分是男孩子，尤其是早产儿）出生后，这个通道的开口仍然大到足够肠管下滑进入腹股沟管，因此，可能形成腹股沟疝气。腹股沟疝气是不能自愈的。

 

宝宝腹股沟疝气症状

 

如果你的宝宝是男孩，得了腹股沟疝气后，你会发现宝宝的腹股沟区或阴囊内有一个较硬的椭圆形包块，大小跟你的大拇指差不多。但你可能要在宝宝出生几周甚至几个月后，才会注意到这个包块。

 

包块可能会在宝宝很活跃或哭闹（使腹腔内压力增高）时鼓出来，当宝宝安静下来后，包块又会复原到腹腔里不见了。

 

得腹股沟疝气的女孩比男孩少得多，但偶尔也会发生。女孩得腹股沟疝气是因为肠管挤过腹壁，进入了宝宝的腹股沟区，有时候也可进入阴唇（阴道开口处柔软的皮肤）。宝宝身上由于腹股沟疝气而突出的地方摸上去像个有点硬的椭圆形肿块。

 

宝宝腹股沟疝气的治疗

 

对于男孩的腹股沟疝气，医生可能会建议你的宝宝做个小手术来治疗，一般选择在一岁左右进行。因为虽然腹股沟疝气本身并没有什么大碍，但凸出的肠管可能会在某个部位被卡住，影响局部区域的血液供应，并且造成组织的永久性坏死，就会对宝宝造成很大的影响。

 

如果得了腹股沟疝气的宝宝发生肠管被卡住的情况，你会发现包块突然变大、变硬甚至变黑，并且你无法将它按压回宝宝的腹壁。宝宝可能会感到疼痛，并且会出现腹胀、呕吐。这时候，你应该立即带他去看急诊，因为他需要马上做手术。


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\"专家解说

 

　　“疝”是指人体正常的组织或脏器通过潜在的腔隙或薄弱区域，由原来的部位移位到其他的部位所形成的疾病。在各种种类的疝中，俗称“小肠气”的腹 股沟疝差不多占了95%，另外还有切口疝、脐疝、盆底疝、膈疝等。腹股沟疝在小孩和成年人均可发生，是指腹腔内的脏器通过腹股沟区的薄弱区域突出到皮下形 成的包块和相应的症状。

 

　　小儿疝气即小儿腹股沟疝气，是小儿普通外科手术中最常见的疾病。彭林指出，只要是男的，就有可能发生疝气，年龄越大发生的几率也越大。

 

　　由于男孩的睾丸是在出生前才通过腹股沟管降至阴囊的，随之下移的腹膜则形成鞘状突。若鞘状突在婴儿出生后还没有闭锁，或闭锁不全，反而成为较大 的腔隙，腹腔内容物就会从这里突向体表，而形成疝气。又因为右侧睾丸下降比左侧略晚，鞘状突闭锁也较迟，故右侧腹股沟疝气较多。当然，女孩也可因腹壁薄弱 形成疝气，只是发病率相对低一些。

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男,2岁3个月。小儿疝气，疝气下来的时候在阴囊里面，两边都有疝气，什么时候能做手术

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