51例婴幼儿急性阑尾炎临床及其漏诊病例分析

845例小儿急性阑尾炎中,5岁以下者51例,其中23例入院时误诊为上感或肺炎(7r例)、肠炎(4例)、肠梗阻(4例)和其它疾病而漏诊。手术治疗87例,发现阑尾穿孔21例,2例死亡,病死率为3.9％。强调了早诊早治的重要性。并对其主要表现为发热、腹痛、腹泻和腹胀等不同情况的鉴别诊断进行了讨论。

A Clinical Causes of Omission Diagnosis of 23 Infants with Acute Appendicitis

51 of 845 children with acute appendictis were under age 5. Among them, 23 cases were misdiagnosed as upper respiration infection or pneumonia (7 cases), enteronitis (4 cases), intestinal obstruction (4 cases) and other diseases. Of 37 operated-on patinets, 21 cases' appendices had perforated with 2 cases dead.The fatality rate is 3.9％ .Therefore early diagnosis and treatment are very important. Here is a discussion on the differentail misdiagnosis of appendicitis, as fever, abdominalgia, diarrhea,abdominal distention, etc.