儿童急性阑尾炎16例临床分析

Clinical analysis of children acute appendicitis in 16 cases

目的:探讨儿童急性阑尾炎临床特点及治疗效果。方法:收治急性阑尾炎患儿16例,3例给予保守治疗,13例给予开腹手术治疗。结果:小儿阑尾炎病情进展快,穿孔率较高,多数患儿存在不同程度的化脓性腹膜炎,增加了治疗的难度。3例患儿采用保守治疗,其中1例病情加重转开腹手术治疗,所有患儿均痊愈出院。结论:腹痛、呕吐、发热是小儿阑尾炎的主要特点,保守治疗和经开腹治疗是主要的治疗措施。

Objective:To explore the clinical characteristics and treatment effect of children acute appendicitis.Methods:16 children with acute appendicitis were selected.3 cases were given conservative treatment.13 cases were given laparotomy treatment.Results:The pediatric appendicitis has faster disease progress and higher perforation rate.Most children had different degrees of purulent peritonitis that increased the difficulty of treatment.3 cases were treated with conservative treatment,and 1 case was treated with laparotomy treatment because of condition worsened.All patients were cured and discharged.Conclusion:Abdominal pain,vomiting and fever are the main characteristics of pediatric appendicitis.The conservative treatment and laparotomy treatment are the main treatment measures.