50例小儿急性阑尾炎临床诊治观察

Clinical Diagnosis and Treatment of 50 Cases of Acute Appendicitis in Children

目的小儿急性阑尾炎的临床诊治情况。方法选择2014年1月~2015年5月诊治的50例小儿急性阑尾炎患儿,对其临床诊治情况进行分析。结果通过分析,所选的50例患儿均实施手术治疗,均确诊为急性阑尾炎,其中26例为单纯性阑尾炎,16例为化脓性阑尾炎,5例为坏疽性阑尾炎,3例为穿孔性阑尾炎。根据患者的临床症状、体征以及辅助检查,44例为初诊诊断,6例为术中明确诊断,共有4例出现术后切口感染,经过积极的对症治疗,患者痊愈出院。结论详细了解小儿急性阑尾炎的临床诊治重点资料与病史,严谨的体格检查,结合辅助诊断方法,加上运用手术治疗,能够降低并发症及误诊出现的几率,加快患儿康复。

Objective The clinical diagnosis and treatment of acute appendicitis in children. Methods 50 children with acute appendicitis were selected from January 2014 to May 2015, and the clinical diagnosis and treatment were analyzed. Results Through analysis, selected 50 cases were implemented surgical treatment, they were diagnosed as acute appendicitis.Among them, 26 cases of simple appendicitis, 16 cases of acute suppurative appendicitis, 5 cases were gangrenous appendicitis, 3 cases of perforated appendicitis. According to the clinical symptoms, signs and auxiliary examination, 44 cases were diagnosed in the first visit, and 6 cases were diagnosed in 4 cases. Conclusion The clinical diagnosis and treatment of acute appendicitis in children with clinical diagnosis and treatment, and a detailed understanding of the history, rigorous physical examination,combined with the auxiliary diagnostic method, combined with the use of surgical treatment, can reduce the incidence of complications and misdiagnosis, and accelerate the recovery of children＇s health.