新生儿阑尾炎误诊1例并文献复习

Appendicitis in the Neonates: Report of One Misdiagnosed Case and Literature Review

目的:探讨新生儿阑尾炎的误诊原因和临床特点。方法:报告1例新生儿阑尾炎误诊病例。结果:误诊为肠梗阻,术后死亡,病理诊断为急性化脓性阑尾炎、先天性巨结肠(HD)。结论:新生儿阑尾炎早期出现的症状是腹胀和呕吐,特点是穿孔早且容易发生腹膜炎,发生弥漫性腹膜炎时腹部体征不明显,无腹肌紧张。腹部B超检查有助于诊断。

Objective:To discuss the misdiagnostic causes and the clinical f eatures of neonatal appendicitis. Meth- ods:One misdiagnosed case of neonatal appendicitis was reported. Results: The case of neonatal appendicitis was misdiag- nosed as intestinal obstruction and died after operation. The pathol ogic diagnoses proved acute suppurative appendicitis and Hirschsprong's disease (H D). Conclusions: The early symptoms of neonatal appendicitis were characterized by ab- dominal distention,vomitting, early perforation and peritonitis The abdomen signs were not apparent when diffuse pu- rulent peritonitis occurred. The abdominal Ultrasonography were helpful in diagnosis.