新生儿阑尾炎12例诊治分析  

Diagnosis and treatment of 12 cases of neonatal appendicitis

作　　者：谷雅川[1] 黄华[1] 陈琦[1] GU Ya-chuan;HUANG Hua;CHEN Qi(Pediatric General Surgery Department,the Third Affiliated Hospital of Zhengzhou University,Zhengzhou 450052,China)

机构地区：[1]郑州大学第三附属医院小儿普外科,河南郑州450052

出　　处：《临床医学研究与实践》2020年第13期107-108,共2页Clinical Research and Practice

摘　　要：目的探讨新生儿阑尾炎的临床特点、诊断和治疗方法。方法回顾性分析我科2013年5月至2019年12月收治的12例新生儿阑尾炎患儿的临床资料。结果男7例,女5例,手术治疗11例(手术及病理均证实为阑尾炎),保守治疗1例。手术治疗患儿中,10例行阑尾切除术,1例行阑尾切除+回肠造瘘术;12例患儿中10例治愈出院,死亡2例。结论新生儿阑尾炎临床表现多无特异性,早期诊断难度较大,腹部超声检查可帮助诊断,积极手术和细致的围手术期治疗是提高治愈率的关键。Objective To investigate the clinical characteristics,diagnosis and treatment methods of neonatal appendicitis.Methods The clinical data of 12 neonates with appendicitis admitted in our department from May 2013 to December 2019 were retrospectively analyzed.Results There were 7 cases of male and 5 cases of female in neonates,11 cases were given surgical treatment(both operation and pathology proved to be appendicitis),and 1 case of conservative treatment.In neonates with surgical treatment,10 cases were given appendectomy,and 1 case was given appendectomy+ileostomy.In 12 neonates,10 cases were cured and discharged,and 2 cases died.Conclusion The neonatal appendicitis has nonspecific clinical manifestations,which is difficult to be early diagnosed.Abdominal ultrasonography can help diagnosis.Active operation and careful perioperative treatment are the keys to improve the cure rate.

关 键 词：阑尾炎 新生儿 阑尾切除 回肠造瘘术 

分 类 号：R726.5[医药卫生—儿科]