摘要
目的通过总结小儿阑尾炎的临床诊治经验,及时做出诊断与手术治疗,减少术后并发症的发生。方法对该院5余年来外科手术治疗的43例小儿急性化脓穿孔性阑尾炎进行回顾性分析和总结。结果本组43例均行手术治疗,其中化脓性阑尾炎18例,坏疽、穿孔性阑尾炎20例,阑尾周围脓肿5例,首发症状以腹泻为主要的有6例,以感冒发热为主要的有6例,以肠梗阻为主要的有4例,术前诊断与术后诊断均为阑尾炎者32例,符合率为74.4%。术前诊断与术后诊断不相符11例,误诊率25.6%。并发症有切口感染6例,肺部感染5例,腹腔残余感染6例,肠梗阻3例,粪瘘1例,腹膜裂开1例。结论通过详细了解病史、仔细体格检查、合理运用辅助诊断、综合分析可能避免延误诊断及治疗,减少术后并发症的发生。
Aim To review clinical diagnosis experiences of curing children＇ s appendicitis, and recommend that diagnosis and operative treatment should be made in time to reduce complications after operation. Methods 43 cases of children＇ s acute appendicitis were analyzed and summarized retrospectively. Those children had been diagnosed and operatively treated in the past five years. Results All the 43 cases got operative treatment, among which 18 cases were suppurative appendicitis,20 cases gangrenous perforation, and 5 cases appendix abscess. Original symptoms ranged from 6 cases with diarrhoea ,6 cases with flu and fever, to 4 cases with intestinal obstruction. 32 cases were diagnosed as children＇ s acute appendicitis either before operation or after operation. The rate of correct diagnosis was 74.4%. 11 cases got inconsistent diagnosis between before operation and after operation. The rate of misdiagnosis was 25.6%. Complications varyied from 6 cases with the cut infection,5 cases with lung infection,6 cases with peritoneal remains infection,3 cases with intestinal obstruction, 1 case with manure fistula, to 1 case with peritoneal split. Conclusion Through inquiring about the history of disease in great detail, careful medical check-up, making proper use of auxiliary diagnosis, and comprehensive analyses, treatment delay and mistreatment may be avoided, and complications after operation will be less likely to occur too.
出处
《安徽医药》
CAS
2010年第8期933-935,共3页
Anhui Medical and Pharmaceutical Journal
关键词
小儿阑尾炎
化脓
穿孔
延误
诊断
children＇ s acute appendicitis
suppuration
perforation
delay
diagnosis
