小儿急性阑尾炎的临床及诊治进展

Advances in clinical diagnosis and treatment of acute appendicitis in children

急性阑尾炎是小儿腹部外科常见疾病,传统影像学检查对小儿急性阑尾炎的诊断较困难,同时大多数儿童典型症状出现的时间较晚,导致明确诊断的时间延长,往往容易导致各种并发症,包括阑尾穿孔、脓肿形成、腹膜炎和败血症等,使其病死率大大增加。因此,本文旨在回顾小儿急性阑尾炎的临床诊治进展,以期更好地指导临床医生对小儿急性阑尾炎的诊疗工作。

Acute appendicitis in children is a common disease in abdominal surgery.Traditional imaging is difficult to diagnose acute appendicitis in children.At the same time,typical symptoms occur late so that there is prolonged time for making a definite diagnosis.Concurrent complications,such as appendix perforation,abscess formation,peritonitis and sepsis,greatly increase its mortality.Therefore,recent advances of clinical diagnosis and treatment of acute appendicitis in children were summarized to better guide clinicians.