Belbusti F, Signoretti P, Stafoggia P, Filomeni N, Amodio G
Divisione di Chirurgia Generale, Ospedale Civile di Urbino.
G Chir. 1992 Jun-Jul;13(6-7):357-62.
The diagnosis of acute appendicitis is still difficult to ascertain in children. However, a complete anamnesis, an accurate physical examination as well as a careful evaluation of other medical and surgical possibilities causing abdominal pain allow to arrive to a correct diagnosis in 80% of cases. Laboratory findings may be helpful but usually don't add further information. Each patient suspected to have appendicitis should be admitted to the hospital and kept under observation; if no improvement is registered during the following hours then a surgical exploration is needed. The surgeon, however, must be acquainted with the different medical affections causing abdominal pain in order to decide whether a laparotomy is required. The Authors report their experience in 426 patients submitted to appendectomy and stress the correlation between abdominal pain and intraoperative finding.
小儿急性阑尾炎的诊断仍难以确定。然而，完整的病史、准确的体格检查以及对引起腹痛的其他内科和外科可能性的仔细评估，可使80%的病例得出正确诊断。实验室检查结果可能有所帮助，但通常不会提供更多信息。每个疑似阑尾炎的患者都应入院观察；如果在接下来的几个小时内没有改善，则需要进行手术探查。然而，外科医生必须熟悉引起腹痛的不同内科疾病，以便决定是否需要进行剖腹手术。作者报告了他们对426例行阑尾切除术患者的经验，并强调了腹痛与术中发现之间的相关性。
