94例小儿急性肠系膜淋巴结炎的临床回顾分析

Clinical retrospective analysis of 94 cases of acute mesenteric lymphadenitis in children

目的探讨小儿急性肠系膜淋巴结炎的临床特征,为临床诊治提供依据。方法回顾性分析2017年8月～2018年8月门诊就诊的94例小儿急性肠系膜淋巴结炎的临床症状、体征及辅助检查,并进行总结。结果 94例患儿均以腹痛为主要症状,3～6岁好发,多见于男孩,常合并上呼吸道感染,血常规提示多由病毒感染引起,腹部B超结果显示所有患儿均有不同程度的肠系膜淋巴结肿大。结论小儿急性肠系膜淋巴结炎以腹痛为主要症状,需与外科急腹症鉴别,尽早行腹部B超明确诊断,以便及时治疗。

Objective To investigate the clinical characteristics of acute mesenteric lymphadenitis in children,and to provide evidence for diagnosis and treatment.Methods The clinical symptoms,signs and auxiliary examinations of 94 children with acute mesenteric lymphadenitis were analyzed retrospectively from August 2017 to August 2018.Results The main symptoms of 94 children were abdominal pain.Most of them were boys aged 3~6 years old.Most of them were complicated with upper respiratory tract infection.Blood routine examination showed that most of the cases were caused by viral infection.Abdominal B-ultrasonography showed that all the children had different degrees of mesenteric lymph node enlargement.Conclusion The main symptoms of acute mesenteric lymphadenitis in children are with abdominal pain,which needs to be differentiated from surgical acute abdomen.Abdominal B ultrasonic diagnosis should be made as soon as possible in order to treat it in time.