小儿急性阑尾炎诊治分析

Analysis of diagnosis and treatment of acute appendicitis in children

目的探讨小儿急性阑尾炎的特点及治疗体会。方法回顾分析湖北省谷城县人民医院2009年1月～2012年10月外科收治的84例小儿急性阑尾炎的临床资料。结果急性单纯性阑尾炎8例(占9.5%),急性化脓性阑尾炎48例(占57.1%),急性坏疽穿孔性阑尾炎21例(占25%),阑尾周围脓肿7例(占6.3%);75例患者急诊行阑尾切除术,9例患者行非手术治疗,11例术后并发切口感染,1例术后并发腹腔脓肿,所有患者均治愈出院,无一例死亡。结论小儿急性阑尾炎病史及临床特点不典型,病程进展快、穿孔率高、死亡率较大,应早期诊断、及时手术、减少并发症。

Objective To investigate the characteristics and treatment of children acute appendicitis. Methods The 84 cases＇ clinical data of children acute appendicitis which were treated by surgical department of writer＇s working hospital from January 2009 to October 2012 were analyzed retrospectively. Results 8 cases were acute simple appendicitis（9.5%）,48 cases were acute purulent appendicitis（57.1%）,21 cases were acute gangrene punch sex appendicitis（25%）and 7 cases were periappendiceal abscess（6.3%）.And 75 patients with emergency line appendectomy,9 cases were non-operational treatment,postoperative infection occurred in 11 cases,1 cases with postoperative concurrent abdominal abscess and all of the patients recovered,with no deaths. Conclusion The clinical history and characteristics of children acute appendicitis are atypical.h has a quick course of disease,high rate of perforation and high mortality rate.So it is better to early diagnosis,in time operative treatment and reduce complications.