新生儿阑尾炎10例诊疗分析  

The Diagnosis and Treatment of 10 Neonatal Appendicitis Cases

作　　者：田俊严[1] 刘丹丹[2] 孙劲松[1] 张刚[1] 

机构地区：[1]济宁医学院附属医院 小儿外科,山东省济宁市272029 [2]济宁医学院附属医院 超声科,山东省济宁市272029

出　　处：《临床小儿外科杂志》2015年第5期417-419,共3页Journal of Clinical Pediatric Surgery

基　　金：济宁医学院青年基金计划,课题编号：JYQ14KJ36

摘　　要：目的：探讨新生儿阑尾炎的诊断特点及治疗方法。方法对作者近7年来收治的10例新生儿阑尾炎病例的临床表现、治疗方案进行回顾性分析，总结其临床特点。结果10例患儿手术证实为新生儿阑尾炎，留置引流管7例。坏疽性阑尾炎6例，化脓性阑尾炎3例，合并 NEC 2例，鞘膜积液2例，先天性巨结肠1例，Amyand’s 疝1例。手术后均痊愈出院，随访无并发症发生。结论新生儿阑尾炎发病率低，症状体征不典型，无特异性检查方法，腹部超声检查有诊断价值，及时剖腹探查可取得良好的治疗效果。Objetive To investigate the diagnosis and treatment characteristics of neonatal appendicitis. Methods A retrospective analysis of the clinical manifestation and the therapeutic regimen was performed on 10 cases with neonatal appendicitis to summarize the clinical features. Results All 10 cases were diagnosed with appendicitis after exploratory laparotomy.There were 7 cases of indwelling drainage tube,6 cases of gan-grenous appendicitis,3 cases of suppurative appendicitis.2 cases complicated with NEC,2 cases with hydro-cele,1 case with Hirschsprung’disease,and 1 case with Amyand’s hernia.All cases were cured,and fol-lowed up without complications.Conclusions Neonatal appendicitis is a rare disease without typical symptoms and specific examination.Doppler ultrasound has the diagnostic value.Timely exploratory laparotomy may be the effective therapeutic method.

关 键 词：阑尾炎 治疗结果 婴儿 新生 

分 类 号：R726.568[医药卫生—儿科]