小儿急性阑尾炎的诊断与鉴别诊断

Diagnosis and differential diagnosis for acute appendicitis in children

小儿急性阑尾炎是小儿外科最常见的急腹症之一，早期正确诊断是合理治疗必要的前提，但是目前诊断与鉴别诊断仍然存在许多问题。充分了解小儿急性阑尾炎的临床特点及需要鉴别诊断的内外科疾病，通过典型临床症状、仔细的体格检查、实验室及影像学检查综合评估，能够正确诊断该病，必要时可以采用腹腔镜检查明确诊断。

Acute appendicitis is the most common surgical or acute abdomen in childhood. Rapid and correct diagnosis is the premise of rational therapy ,but there are still some problems in diagnosis and differen- tial diagnosis. Sufficient comprehension about clinical features and differential diagnostic diseases, typical clinical symptoms, physical examination,laboratory examinations, ultrasonography or CT would make a definite diagnosis. Laparoscopy is also used to make a diagnosis if necessary.