儿童急性阑尾炎的临床表现与诊治新进展  

New Progress in Clinical Manifestations,Diagnosis and Treatment of Acute Appendicitis in Children

作　　者：刘霖 崔钊[2] Liu Lin;Cui Zhao(Changchun University of Chinese Medicine,Changchun,Jilin 130000;Changchun Children’s Hospital,Changchun,Jilin 130000)

机构地区：[1]长春中医药大学,吉林长春130000 [2]长春市儿童医院,吉林长春130000

出　　处：《科技与健康》2025年第3期61-64,共4页Technology and Health

摘　　要：儿童急性阑尾炎是儿外科急诊中最常见的疾病之一。其临床表现不典型,与成年患者体征差异大,且病情发展迅速,极易伴发阑尾穿孔、弥漫性腹膜炎等严重并发症,在诊断上存在困难,一旦延误诊治或漏诊,将对患儿的生命安全造成巨大威胁。近年来,在小儿急性阑尾炎的诊治上有着诸多进展,如一些新型监测患儿炎症程度的指标与常规实验室指标的联合应用;高频超声、螺旋CT在急性阑尾炎类型上的鉴别;以及新治疗手段内镜下逆行阑尾炎治疗术的临床应用等。对这些新的进展展开了综述。Acute appendicitis in children is one of the most common diseases in pediatric surgical emergencies.Its clinical manifestations are not typical,and there are significant differences in physical signs compared with adult patients.Moreover,the disease progresses rapidly and is highly likely to be accompanied by severe complications such as appendiceal perforation and diffuse peritonitis,making diagnosis diffcult.Once the diagnosis and treatment are delayed or missed,it will pose a huge threat to the life safety of children.In recent years,there have been many advancements in the diagnosis and treatment of acute appendicitis in children.For example,the combined application of some new indicators for monitoring the degree of inflammation in children and routine laboratory indicators;the identification of the types of acute appendicitis by high-frequency ultrasound and spiral CT;and the clinical application of a new treatment method,endoscopic retrograde appendicitis therapy(ERAT).This article will provide a review of these aspects.

关 键 词：急性阑尾炎 儿童 诊断 治疗 ERAT 

分 类 号：R574.2[医药卫生—消化系统]