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小儿急性阑尾炎误诊分析 被引量:5

Misdiagnosis analysis of acute appendicitis in children
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摘要 目的通过对小儿急性阑尾炎术前误诊原因分析,以提高小儿急性阑尾炎术前诊断的准确率。方法对376例中经手术治疗及病理证实为阑尾炎而术前诊断为其他疾病的患儿进行分析,以明确小儿急性阑尾炎术前误诊原因。结果 106例患儿超声确诊99例,X线造影确诊101例。结论病史不明确,症状不典型,检查不配合,是造成小儿急性阑尾炎误诊主要原因。 Objective To elevate the preoperauve ctlagnosls acculate lat~ tn a ~,~, J analyzing the preoperative misdiagnosis causes. Methods 376 cases proved by operation and pathology of appendicitis and the preoperative diagnosis of other diseases were analyzed,in order to identify the preoperative misdiagnosis reasons of acute appendicitis in children. Results Among the 106 patients,99 cases were diagnosed by ultrast)und,101 cases by X-ray visualization. Conclusion The indefinite medical history,not typical symptoms,and uncooperative check is the major misdiagnosis causes of acute appendicitis in children.
出处 《中国医药科学》 2013年第9期164-165,共2页 China Medicine And Pharmacy
关键词 小儿急性阑尾炎 误诊 分析 Children with acute appendicitis Misdiagnosis Analysis
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  • 1张金哲.小儿阑尾炎[J].临床小儿外科杂志,2002,1(5):349-351. 被引量:35
  • 2Rothrock SG, Pagane J. Acute appendicitis in children: emergency department diagnosis and management. Ann Emerg Med, 2000, 36(1):39-51.
  • 3Philip JK, Louis EV. Specific diseases mimicking appendicitis in childhood. Arch Surg, 1981,116-144.
  • 4Bell MJ, Bower RJ, Tembery TL, et al. Appendectomy in childhood, Analysis of 105 negative explorations. Am J Surg, 1982,144-335.
  • 5Rethrock SG, Pagane J. Acute appendicitis in children: emergency department diagnosis and management. Ann Emerg Med, 2000,36:39-51.
  • 6Horwitz JR, Gursoy M, Jaksic T, et al.Importance of diarrhea as a presenting symptom of appendicitis in very young children. Am J Surg, 1997,173: 80-82.
  • 7Graff L, Russell J, Seashore J, et al. Falsenegative and false-positive errors in abdorninal pain evaluation: failure to diagnosis acute appendicitis and unnecessary surgery. Acad Emerg Med, 2000, 7: 1244-1255.
  • 8Weber TR, Keller MA, Boner R J, et al. Is delayed operative treatment worth the trouble with perforated appendicitis in children?Am J Surg, 2003,186:685-688.
  • 9Flum DR, Koepsell T. The clinical and economic correlates of misdiagnosis appendicitis: nationwide analysis. Arch Surg, 2002,137: 799-804.
  • 10Alloo J, Gerstle T, Shilyansky J, et al. Appendicitis in children less than 3 years of age: A 28-year review. Pediatr Surg Int,2004, 19: 777-779.

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  • 1姜燕茹,钱晓芹.能量多普勒超声对乳腺良恶性肿瘤血流形态学及动力学指标的分析[J].医学影像学杂志,2005,15(10):863-866. 被引量:6
  • 2许秋泳,许向农,黄文宝,赖亚栋.胃结核的诊断与治疗(附文献复习)[J].现代消化及介入诊疗,2007,12(3):184-186. 被引量:8
  • 3熊文明,时正义,王富金.儿童急性阑尾炎的CT诊断价值[J].中外健康文摘,2013,34(11):65.
  • 4向松堂,吴刚.27例高位(肝下)急性阑尾炎的诊治体会[J].医药前沿,2014,3(2):100.
  • 5胡永升.现代乳腺影像诊断学[M]北京:科学出版社,200121-81.
  • 6Adler DD,Carson PL,Robin JM. 1Doppler ultrasound color flow imaging in the study of breast cancer:Preliminary[J].Findings Ultrasound Med Bio l,1990,(06):5532559.
  • 7胡亚美;江载芳;锗福棠.实用儿科学[M]北京:人民卫生出版社,20022279-2280.
  • 8张金泽.实用小儿肿瘤学[M]郑州:河南医科大学出版社,2001307-315.
  • 9周永昌;郭万学.超声医学[M]北京:人民卫生出版社.
  • 10孙定人.药物不良反应[M]北京:人民卫生出版社,2003147.

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