小儿内科急性腹痛60例临床诊断及处理

Clinical Diagnosis and Treatment of Acute Abdomen in Pediatric Medicine Analysis

目的:探究小儿内科急性腹痛的临床诊断及处理对策。方法:选取本院接受检查的60例小儿内科急性腹痛患儿作为研究对象,对所有患儿的临床诊疗资料进行回顾性分析。结果:60例患儿均得到有效治疗,3例经保守治疗无效后转手术治疗,均痊愈出院。急性胃肠炎26例,肠痉挛2例,细菌病毒感染14例。肠系膜淋巴结炎10例,阑尾炎1例,肠套叠3例,肠扭转2例,胆结石2例,1例漏诊,1例误诊,临床诊断符合率为96.7%。结论:小儿内科急性腹痛的病因较为复杂多样,临床诊断时应对患儿的疼痛特征进行详细分析,注意患儿及其家属的主诉,并结合其他检查结果,并依据其具体病情合理选择治疗方法。

objective To explore the clinical diagnosis and treatment of acute abdomen in pediatric medicine countermeasures. Method 60 cases of pediatric medicine children with acute abdominal pain as the research object, to review the clinical diagnosis and treatment of children with all data type analysis. Results all 60 cases were effective treatment, 3 cases with conservative treatment is invalid after surgery were recovered after hospital discharge. Acute gastroenteritis 26 cases, intestinal cramps 3 cases, 14 cases of bacterial virus infection. 10 cases of mesenteric lymphadenitis, 1 case of appendicitis, intussusception, 3 cases of volvulus 3 cases, 2 cases of gallstones. 1 case 1 case was misdiagnosed in diagnosis, clinical diagnostic coincidence rate was 96.7 %. Conclusion the causes of infantile acute abdominal pain medicine is relatively complex, clinical diagnosis to deal with the pain features a detailed analysis, pay attention to the complaints of the children and their families, and combined with other test results, and choose the treatment methods according to the specific illness condition.