小儿急性阑尾炎的临床及实验室特征  

The clinical and laboratory features of acute appendicitis in children

作　　者：张利兵[1] 阎焕[1] 胡显良[1] 

机构地区：[1]四川省成都市儿童医院外科,610017

出　　处：《医学信息（下旬刊）》2010年第1期11-12,共2页Medical information

摘　　要：目的：对147例小儿阑尾炎术前进行了C-反应蛋白（CRP）和白细胞计数（WBC）的检测，结合术后病理检查结果进行分析．以期提高小儿阑尾炎的诊治率。方法：根据术中所见及病理检查结果将纳入病例分为三组，分别为急性单纯性阑尾炎26例，急性化脓性阑尾炎61例，急性坏疽穿孔性阑尾炎印例；并对各组的临床及实验室检测特征进行统计分析。结果：①腹痛是所有急性阑尾炎病儿的首要症状，大部分患儿可合并发热、呕吐等临床表现；②急性化脓性阑尾炎及急性坏疽性阑尾炎与急性单纯性阑尾炎相比较，血CRP和WBC水平明显升高（P〈0．01）；③婴幼儿阑尾炎发病较少，一旦发病，病情较重。结论：在充分掌握腹痛患儿病史及体征的基础上。结合实验室血WBC、CRP的测定，可提高对小儿急性阑尾炎的识别能力。objective In order to enhance the differentiating capability of acute appendicitis of children,147 cases of children with appendicitis before appendectomy received CRP and WBC assay and results of pathological examination were retrospectively analyzed. Methods According to findings of operation and histopathology, the cases were sorted into three groups including acute simple appendicitis group, acute suppurative appendicitis group, acute gangrenous and perforated appendicitis group, every group having 26cases,61cases,60eases respectively. The clinical and laboratory features of every group were statistically analyzed. Results ①Tne paramount symptom of children with acute appendicitis was abdominal pain. The majority patients would have symptoms such as fever, vomiting, anorexia et al. ②The serum CRP and WBC level in acute suppurative appendi citis group and acute gangrene appendicitis group was significantly higher than that of in acute simple appendicitis group（P 〈 0.01 ）. ③There were rare incidence of acute appendicitis in infantile period, once onset the condition would be worse. Conclusions After thoroughly acquired history of patients with abdominal pain, following elaborative physical examination and CRP and WBC assay, the capability of differentiating acute appendicitis in children could be enhanced.

关 键 词：阑尾炎 C-反应蛋白 白细胞计数 婴幼儿 儿童 

分 类 号：R726.1[医药卫生—儿科]