小儿异位阑尾炎105例临床诊治分析  

Analysis of Diagnosis and Treatment in 105 Children with Ectopic Appendicitis

作　　者：梁国俊[1] 罗晓勘[2] 

机构地区：[1]成都儿童专科医院,四川成都610016 [2]成都市医学信息所,四川成都610091

出　　处：《现代临床医学》2010年第5期363-364,共2页Journal of Modern Clinical Medicine

摘　　要：目的:探讨小儿异位阑尾炎的诊断及治疗经验。方法:回顾我院1991年3月至2010年4月859例小儿阑尾切除术病历,分析105例异位阑尾临床特征,总结诊断与手术经验以及并发症预防和处理方法。结果:859例小儿阑尾切除术中有105例异位阑尾炎,经阑尾切除术后临床全部治愈。术前明确诊断69例,剖腹探查明确诊断36例。结论:小儿异位阑尾炎以腹痛为主要症状,其临床症状及体征复杂多变,常易延误诊断和治疗而发生多种并发症。早期诊断、及时手术、术中妥善处理是防止术后并发症的关键。Objective：To discuss the experience of diagnosis and treatment for dystopia appendicitis in young children.Methods：Retrospectively consulted medical record of appendicitis resection in March,1991-April,2010.Analyzed the clinical characteristic and summarized the experience of diagnosis and treatment method in 105 dystopia appendix.Results：105 cases dystopia appendicitis were discovered in 859 appendectomy.69 cases of dystopia appendicit preoperatively and 36 cases definited in paunch ascertainment.Conclusion：Abdominal pain is the main clinical symptoms and signs for dystopia appendicitis in children.dystopia appendicitis has complex and changeable clinical symptoms.Because of delay diagnosis and treatment,the complications occur usually.The key of preventing postoperative complications is the early diagnosis,timely surgery and appropriate treatment.

关 键 词：异位阑尾炎 小儿 诊断 治疗 

分 类 号：R656.8[医药卫生—外科学]