儿童急性阑尾炎32例临床分析

Clinical analysis of 32 cases of acute appendicitis in children

目的:探讨儿童急性阑尾炎的临床特点及诊治方法。方法:对32例确诊为儿童急性阑尾炎的临床资料进行回顾性分析。结果:32例均行手术治疗,术后病理证实单纯性阑尾炎8例,化脓性阑尾炎18例,坏疽性阑尾炎2例,阑尾穿孔4例。术后切口感染2例,32例均治愈出院。结论:儿童急性阑尾炎病情进展快,误诊率高,早期诊断、积极手术是治疗的关键。

Objective： To investigate the characteristics and treatment of acute appendicitis in children. Methods： A retrospective study was undertaken to analyze the clinical characteristics of 32 cases. Results： All cases received surgery. 8 cases were simple appendicitis, 18 cases were purulent appendicitis, 2 cases were gan- grene appendicitis, and 4 cases were appendicular perforation. 32 cases were cured and discharged with incision infection in 2 cases. Conclusion. The acute appendicitis in children are characterized by fast progress,high mis- diagnosis rate. The key of treatment is early diagnosis and positive operation.