摘要
目的:探讨首诊于儿科急性阑尾炎的临床特点。方法:回顾性分析首诊于儿科的68例急性阑尾炎患儿的临床表现、辅助检查、诊断及预后。结果:68例患儿均于就诊后4~48 h内转普外科,经手术治疗证实为急性阑尾炎。结论:对无明确病因的急性腹痛、发热、呕吐、腹泻患儿应高度警惕阑尾炎的可能,详细询问病史、耐心细致的体格检查、合理的辅助检查及动态观察腹部体征变化有助于小儿阑尾炎的早期诊断,降低误诊率。
Objective:To investigate the clinical characteristics of acute appendicitis in children.Methods:The clinicalmanifestations,auxiliary examinations,diagnosis and prognosis on68cases of acute appendicitis in pediatrics were analyzedretrospectively.Results:All the68patients were transferred to the department of general surgery within4～48hours after the visit,and the operation proved to be acute appendicitis.Conclusion:For patients with acute abdominal pain,no clear cause of fever,vomiting,diarrhea should be highly alert to possible appendicitis,detailed history,careful physical examination,early diagnosis andreasonable change of auxiliary examination and dynamic observation of abdominal signs helps to reduce the rate of misdiagnosisof appendicitis in children.
作者
王建玲
张忠平
Wang Jianling;Zhang Zhongping(The Third People's Hospital of Haiyang City 265100;Haiyang Maternal and Child Health Care Center for Family Planning Service 2651002)
出处
《中国社区医师》
2017年第29期144-145,共2页
Chinese Community Doctors
关键词
阑尾炎
误诊
小儿
Appendicitis
Misdiagnosis
Children
