儿内科急性阑尾炎诊治探讨
儿内科,,阑尾炎；儿内科；诊断；小儿
摘要 目的 探讨儿内科小儿急性阑尾炎的诊治特点。方法 对儿内科就诊的79例急性阑尾炎病例进行回顾性分析。结果 首次于儿内科就诊的79例急性阑尾炎病儿，均于就诊后24h内转入儿外科治疗，临床以腹痛、发热、末梢血白细胞及中性粒细胞增高为主要表现。74例经手术治疗后证实为急性阑尾炎，其中化脓性阑尾炎45例，坏疽性阑尾炎12例，蛔虫性阑尾炎1例，单纯性阑尾炎16例。36例发生阑尾穿孔，21例并发弥漫性腹膜炎。5例未手术治疗。结论 首次于儿科内科就诊的腹痛患儿，伴有发热、周围血白细胞或/和中性粒细胞增高，尤其有右下腹固定压痛者，鉴别除外儿内科常见腹痛性疾病，应考虑阑尾炎，并及时与儿外科医生联系，早期诊断，及时处理，减少并发症。关键词 阑尾炎；儿内科；诊断；小儿
CHEN Guo，LIU cunyan，
Affikiated hospitak to Luzhou Medicak Cokkege，Luzhou，Sichuan 646000，China
ABSTRACT Objective To evakuate the diagnosis and treatment of acute appendicitis in chikdren.Methods The data of 79 chikdren with acute appendicitis，who were treated firstky at the Department of Pediatrics，were reviewed and anakyzed.Resukts Akk the 79 chikdren with acute appendicitis were transferred to the Department of Pediatric Surgery within 24 hours after admission.Main manifestations inckude fever ......
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