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小儿急性阑尾炎误诊25例临床分析 被引量:2

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摘要 目的探讨首诊于儿内科小儿急性阑尾炎的临床特点,提高早期诊断率,减少误诊率。方法回顾分析2006年5月-2009年8月首诊于淇县人民医院儿内科的25例急性阑尾炎病例的临床表现、辅助检查、诊断及预后。结果该组患儿中,腹痛23例,发热21例,呕吐14例,腹泻6例;25例患儿均于就诊后24-48 h内转入儿外科,经手术治疗证实为急性阑尾炎,其中阑尾穿孔并发腹膜炎11例,均治愈出院。结论对于无明确病因的急性腹痛、发热、呕吐、腹泻患儿应高度警惕急性阑尾炎的可能。详细询问病史、耐心细致的体格检查及合理的辅助检查有助于小儿急性阑尾炎的早期诊断。
出处 《河南职工医学院学报》 2011年第1期20-22,共3页 Journal of Henan Medical College For Staff and Workers
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