👨‍⚕️ Dr. BOSS 的一般外科衛教室｜Episode 04：腸套疊手術

👨‍⚕️ Dr. BOSS 的一般外科衛教室｜Episode 04：腸套疊手術 Dr. BOSS’s General Surgery Health Classroom｜Episode 04: Intussusception Surgery 副標 / Subtitle 👨‍⚕️ Dr. BOSS × 🐨 Koala | 腸套疊：腸道「縮進」的小麻煩 👨‍⚕️ Dr. BOSS × 🐨 Koala | Intussusception: The Intestine “Telescoping” Trouble --- 🟦 對話稿 Dialogue（中英對照） Koala： BOSS醫生，什麼是腸套疊啊？ Doctor BOSS, what is intussusception? BOSS 醫生： 腸套疊是指一段腸子套入另一段腸子，就像望遠鏡縮進去一樣，會造成腸道阻塞、血液循環受影響，若不處理可能壞死。 Intussusception occurs when one part of the intestine slides into another, like a telescope folding in, causing obstruction and compromising blood flow. If untreated, it can lead to tissue death. Koala： 那通常誰會得這個呢？ Who usually gets this condition? BOSS 醫生： 嬰幼兒最常見，尤其是6個月至3歲之間的孩子，也可能因腸道腫瘤或息肉引起成人腸套疊。 Most common in infants and young children, especially 6 months to 3 years old. Adults may get it due to intestinal tumors or polyps. --- 🟦 診斷篇 Diagnosis（中英對照） 症狀 / Symptoms 腹痛、嘔吐、血便、腹部腫塊。 Abdominal pain, vomiting, bloody stool, abdominal mass. 影像檢查 / Imaging 超音波可見「靶形徵象」，X光或CT可判斷腸道阻塞位置。 Ultrasound shows “target sign”; X-ray or CT identifies obstruction location. --- 🟦 治療方式 Treatment Methods（中英對照） 保守減壓 / Non-surgical reduction 適合小兒且無壞死情況，可用空氣或液體灌腸減壓復位。 Suitable for children without necrosis; air or contrast enema can reduce the intussusception. 手術治療 / Surgical treatment 當保守治療失敗或腸道已壞死時，需要手術將套疊腸段復位，必要時切除壞死腸段並做腸道吻合。 Surgery is required if non-surgical reduction fails or bowel is necrotic. The telescoped segment is reduced, and necrotic bowel may be resected with anastomosis. --- 🟦 術後照護 Postoperative Care（中英對照） 疼痛控制 / Pain management 使用止痛藥控制術後不適。 Use pain medications to manage postoperative discomfort. 飲食恢復 / Diet recovery 術後先禁食，腸蠕動恢復後逐步進食液體與軟食。 NPO initially; gradually resume liquids and soft foods as bowel function returns. 活動與復健 / Activity & rehabilitation 早期下床活動，促進血液循環與腸道功能。 Early ambulation promotes circulation and bowel motility. 傷口照護 / Wound care 保持傷口清潔乾燥，觀察紅腫或滲液。 Keep wound clean and dry; monitor for redness or discharge. --- 🟦 小知識 Mini Note（中英對照） Koala： 腸套疊會自己好嗎？ Can intussusception heal by itself? BOSS 醫生： 大部分小兒腸套疊如果早期發現，可以用灌腸復位。但若延遲治療，可能造成腸壞死，必須手術。 Most pediatric cases can be reduced non-surgically if detected early. Delayed treatment can cause bowel necrosis, requiring surgery. --- 🟦 小貼士 Quick Tip 中文：嬰幼兒腹痛、嘔吐、血便應及早就醫；手術後遵守飲食、活動及傷口照護指示。 English: Seek prompt medical care if infants or young children have abdominal pain, vomiting, or bloody stool; follow postoperative diet, activity, and wound care instructions.