496例婴幼儿阑尾炎临床分析  

Clinical analysis of 496 cases of appendicitis in infants

作　　者：冯卫[1] 金先庆[1] 李晓庆[1] 向丽[1] 刘伟[1] 宋晓峰[1] 顾秀文[1] 王轲[1] 

机构地区：[1]重庆医科大学附属儿童医院普外科,400014

出　　处：《重庆医学》2010年第17期2354-2356,共3页Chongqing medicine

摘　　要：目的总结3岁以下婴幼儿阑尾炎的临床表现及实验室检查等结果,以提高婴幼儿阑尾炎早期诊断率,降低病死率,减少并发症。方法完整统计该院1984年1月至2009年10月收治的8 622例小儿阑尾炎的临床资料,并将其中496例婴幼儿阑尾炎的症状、体征、实验室检查以及手术结果进行回顾性分析。结果婴幼儿阑尾炎全组无死亡病例,穿孔率为43%,并发腹膜炎患儿占45.8%,手术460例,病理结果以化脓及坏疽性阑尾炎为主。结论婴幼儿阑尾炎的症状、体征不典型,病情进展快,穿孔率高,易出现各种并发症,早期准确诊断和及时有效治疗是提高治愈率和减少术后并发症的关键。Objective To summary and analyse the clinical manifestations and laboratory data of appendicitis in infants under 3 years between 1984 to 2009,in order to improve the early diagnosis of appendicitis in infants and young children and reduce mortality and complications.Methods To continuously and non-selectively analyse the clinical manifestations and laboratory data of 8622 appendicitis children treated for appendicitis at Children′s Hospital of Chongqing Medical University between January 1984 and October 2009,to review and analyse the clinical manifestations and laboratory data of 496 infants of appendicitis.Results There were no deaths of appendicitis in this group,the rate of perforation and peritonitis was 42% and 45.8% respectively,460 infants were undergone appendectomy,the suppurative and gangrenous appendix were the most common pathology.Conclusion There were no specific clinical signs and symptoms.Early diagnosis of acute appendicitis in infants remains difficult.The rate of perforations and complications is still high.Early diagnosis and effective treatment are the keys to increase the cure rates and lower complications.

关 键 词：阑尾炎 婴幼儿 临床分析 

分 类 号：R726.5[医药卫生—儿科]