婴幼儿急性阑尾炎53例临床分析

Clinical study of 53 cases of acute infantile appendicitis

目的:探讨婴幼儿急性阑尾炎的临床特点。 方法 :对 5 3例婴幼儿急性阑尾炎临床资料进行回顾性分析。结果 :发病原因 :不明原因 2 7例 (5 0 .9% ) ,细菌性痢疾 10例 (18.9% ) ,上呼吸道感染 8例 (15 .1% ) ;穿孔性阑尾炎 2 5例 (47.2 % ) ,单纯性阑尾炎 11例 (2 0 .8% ) ,阑尾周围脓肿 5例 (9.4 % ) ;阑尾切除术 4 9例 ,盆腔脓肿单纯引流 2例 ;术后并发症占 6 8.0 % ;5 3例均痊愈。结论:婴幼儿急性阑尾炎误诊率、穿孔率高 ,并发症多。右下腹是否有压痛对诊断有决定性的意义 ,宜早期诊断、早期治疗 。

Objective: To discuss the clinical characteristics of acute infantile appendicitis. Methods: 53 cases of acute infantile appendicitis were reviewed for their causes, manifestation, and complication. Results: The cause of acute infantile appendicitis could not be found in 27(50.9%) cases. 10(18.9%) were induced by bacterial dysentery and 8 (15.1%) were associated with infection of upper respiratory tract. 11 cases(20.8%) were simple appendicitis and 25(47.2%) showed perforation of appendix. 49 cases were treated by appendectomy and two cases were treated by drainage of the abscess around appendix. The complication of appendectomy was 67.9 percent. Conclusions: The misdiagnosis and the perforation of acute appendicitis in infant are higher and the complication are more. The younger the infant, the higher the complication. Examination and the pain over right lower quadrant of abdomen have important significance to diagnosis.