婴幼儿急性阑尾炎的临床分析

目的 探讨婴幼儿急性阑尾炎的临床特征.方法 对我院2008年1月至2012年12月我院收治的婴幼儿急性阑尾炎病例95例进行回顾性分析,总结婴幼儿急性阑尾炎的临床特点,并对其诊疗方法进行探讨.结果 95例婴幼儿急性阑尾炎中,临床症状表现为不典型腹痛的患儿有51例,占比53.68％,B超未提示异常的急性阑尾炎有22例,占比23.16％,B超确诊阑尾脓肿23例,占比24.21％,术中发现阑尾穿孔16例,占比16.84％.结论 婴幼儿急性阑尾炎临床表现不典型,临床容易延误诊断,穿孔率高,对怀疑急性阑尾炎的患儿应反复仔细检查,一旦确诊应紧急手术.

Clinical analysis of acute appendicitis in infants

Objective To investigate the clinical characteristics of acute appendicitis in infants. Methods Retrospectively analyzed the datas of 95 cases of infant acute appendicitis those who got therapy in our hospital during January 2008 and December 2012, summarized the clinical features of acute appendicitis in infants, discussed its diagnosis and treatment methods. Results Among the 95 cases of acute appendicitis, 51 children appeared atypical abdominal pain, accounting for 53.68%. 22 cases of acute appendicitis didn＇t found abnormal under B - mode ultrasonic diagnostic equipment, accounting for 23.16%. 23 cases were diagnosed as appendiceal abscess by B -mode ultrasonic diagnostic equipment, accounting for 24.21%. 16 cases of perforated appendix and accounting forl6.84%. Conclusions The sympotoms of acute appendicitis in infants are atypic, it＇s easily to delay in diagnosis and have high perforation rate. So suspected acute appendicitis in infants should be examined carefully and repeatedly, once diagnosed, should do emergency surgery.