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[儿童急性阑尾炎鉴别诊断中的错误]

[Errors in the differential diagnosis of acute appendicitis in children].

作者信息

Kuznetsov V I, Magerramov L G

出版信息

Vestn Khir Im I I Grek. 1976 Oct;117(10):73-6.

PMID:1014227
Abstract

According to the authors' findings among 1027 children operated upon for appendicitis 61 children had diseases not related with inflammation of the appendicular process. Mesenterial lymphadenitis was observed intraoperatively in 34 cases, pneumococcic peritonitis-in 15, invagination of the small and large intestine-in 3, diverticulitis of Meckel's diverticulum-in 3, ovarian apoplexy-in 3, atonia of the urinary bladder-in 2. Diagnostic errors occurred as a result of improper analysis of the anamnesis data, rare incidence of the aforementioned diseases, and also due to the absence of reliable methods of objective laboratory and instrumental investigations of such patients.

摘要

根据作者对1027例接受阑尾炎手术的儿童的研究结果,61名儿童患有与阑尾炎症无关的疾病。术中观察到肠系膜淋巴结炎34例,肺炎球菌性腹膜炎15例,小肠和大肠套叠3例,梅克尔憩室憩室炎3例,卵巢中风3例,膀胱无张力2例。诊断错误是由于对病史资料分析不当、上述疾病发病率低,以及缺乏对此类患者进行客观实验室和仪器检查的可靠方法所致。

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