摘要
目的：提高儿内科医生对小儿不典型阑尾炎的诊断水平,防止和减少误诊。方法：对误收入儿内科的48例急性阑尾炎（手术后证实）进行回顾性分析。结果：〈6岁儿童误诊率高达83.30%;误诊为急性胃炎达41.67%,误诊为肠系膜淋巴结炎25.00%,误诊为感染性腹泻、败血症等占33.30%;误诊时间多在发病1~3 d。结论：年龄〈6岁特别是〈3岁的腹痛患儿,如同时伴发热、呕吐或腹泻,外周血白细胞渐增高并以中性为主,应及时作腹部B超检查,必要时进行右下腹麦氏点穿刺以明确诊断,及时手术治疗,防止阑尾穿孔、腹膜炎、中毒性休克等并发症发生而危及生命。
Objective：To improve the recognition of atypical acute appendicitis of child and to reduce misdiagnosis.Methods：48 acute appendicitis cases（after operation） which were misdiagnosed in our department were analyzed retrospectively.Results：the misdiagnosis rate of the children who were6 years was 83.3%.In which 41.7% were considerd to be acute gastritis,25% of were considerd to be acute mesenteric lymphadenitis,and infectious diarrhea and sepsis were 33.30%.The most misdiagnosis were in the 1~3 days after attack.Conclusion：The children who are 6 years,especially 3 years,with fever,vomit and diarrhea,the leukocytosis（although the sign of abdominal pain are not typical）,should have the ultrasound of abdomen timely,or the puncture of McBurney＇s point.The diagnosis is as early as possible,get operation in time,prevent the happening of complication such as appendicular perforation,acute peritonitis,and infectious shock,even death.
出处
《现代临床医学》
2010年第3期189-190,共2页
Journal of Modern Clinical Medicine
关键词
小儿
急性阑尾炎
误诊
children
acute appendicitis
misdiagnosis
