摘要
目的急性盲肠升结肠炎是儿童血液病的严重并发症,本文讨论其诊断和处理。方法总结我院的临床病例资料,并行文献复习。结果过去5年间诊断血液病并发急性盲肠炎的病例共7例,主要症状是在血液粒细胞严重减低的基础上,出现右下腹痛伴高热和腹泻,CT、B超可提示盲升结肠壁增厚,保守治疗可获明显疗效。结论血液病治疗中出现急性腹痛的患儿,除了考虑阑尾炎外应注意盲升结肠炎的可能。高热、腹泻和CT检查中出现结肠和盲肠壁增厚或壁内积气常是盲肠炎的依据。治疗上以保守治疗为主。
Objective To explore the surgical management of typhlitis in the children with hematologic malignancy. Methods A retrospective study was conducted on our pediatric patients treated for hematologic malignancy with typhlitis, and literatures were reviewed. Results Seven cases were diagnosed with typhlitis. The typical clinical presentation in children with typhlitis included presence of right quadrant tenderness, high fever and diarrhea in the setting of neutropenia. Ultrasound and CT scan could accurately defined typhlitis but not appendicitis. All cases were treated conservatively. Conchtsions Appendicitis and typhlitis occur with similar frequency in children with leukemia and lymphoma. Typhlitis is accurately diagnosed with clinical findings of fever, diarrhea, abdominal pain, and typical CT scan finding. Typhlitis can be successfully managed with conservative treatment.
出处
《中华小儿外科杂志》
CSCD
北大核心
2007年第10期525-527,共3页
Chinese Journal of Pediatric Surgery
关键词
血液病
粒细胞减少
结肠炎
Hematologic diseases
Granulocytopenia
Colitis
