新生儿阑尾炎的诊疗体会

Experience in Diagnosis and Treatment of Neonatal Appendicitis

目的 总结新生儿阑尾炎的临床特点,提高诊治水平。方法 回顾性分析我院2005年7月~2015年7月收治的新生儿阑尾炎误诊临床资料6例。结果 误诊4例,3例剖腹探查,证实为阑尾炎,1例保守治疗后期手术切除阑尾。结论 新生儿阑尾炎临床表现极其不典型,容易导致误诊,仔细的查体结合检查有助于诊断,同时及时的手术探查加上术后的系统管理是治愈的关键。

Objective Summarizes the clinical features of neonatal appendicitis, To improve the diagnosis. Methods Retrospective analysis of 6 cases of neonatal appendicitis in our hospital from July 2005 to July 2015, the clinical data were retrospectively analyzed. Result 4 cases of misdiagnosis, 3 cases of laparotomy. Confirmed appendicitis. 1 case of conservative treatment of post-surgical removal of the appendix. Conclusion Clinical manifestations of neonatal appendicitis extremely atypical, easily lead to misdiagnosis, careful examination combined with test diagnosis, meanwhile timely surgical exploration plus postoperative management system is the key to cure.