航空航天医学杂志

目的:分析儿童急性阑尾炎的临床表现,诊断及治疗特点。方法:对2006-01~2009-12间治疗的0~13岁阑尾炎患儿资料进行回顾性分析。结果:总共118例,男性76例,女性42例,手术110例,急性化脓性阑尾炎(A组)84例,急性单纯性阑尾炎(B组)19例,慢性炎症急性发作6例,神经内分泌癌1例。共做超声检测107例,A组超声异常58例,B组4例,两组差别明显(P<0.01)。白细胞总数和中性粒细胞分类比,A组和B组无明显差别(P>0.05)。结论:重视儿童急腹症的体格检查,常规进行血常规,超声等检测,必要时采用CT和MR I辅助诊断,加强年轻医生培养,减少误诊及漏诊,避免阴性阑尾切除。

Objective:To analyze the clinical situation,diagnose and treatment of acute appendicitis(AA) in children.Methods:To collected the clinical data of AA in children who treated in our hospital from Jan,2006 to Dec,2009,aged 0~13 years old.Results:In all of 118 cases,there had 76 males and 42 famales.In which of them,110 had in surgical treatment,pathologic diagnosis of them had be proved in follow:84 acute suppurative appendicitis(group A),19 acute simple appendicitis(group B),6 acute episode of chronic inflammation,1 neuroendocrine carcinoma.107 of all had ultrasonograph,58 were abnormality of group A and 4 in group B,there had obviously difference between them in statistic(P<0.01).The count of WBC and ratio of neutrophil in group A and B had no difference in statistic(P>0.05).Conclusions:physical examination is very important in children′s acute abdomen,Laboratory and imageology results should be considered to be integrated within the clinical assessment,which included convention of blood,ultrasonograph,Even computerized tomography(CT),magnetic resonance imaging(MRI)can be used in some intractable cases.We should be enhanced training young doctor,decreased misdiagnosisand avoidnagative appendectomy.