Tsalkidis Aggelos, Gardikis Stefanos, Cassimos Dimitrios, Kambouri Katerina, Tsalkidou Evanthia, Deftereos Savas, Chatzimichael Athanasios
Department of Pediatrics, University Hospital of Alexandroupolis, Democritus University of Thrace-Medical School, Alexandroupolis, Greece.
Pediatr Int. 2008 Jun;50(3):315-8. doi: 10.1111/j.1442-200X.2008.02578.x.
Acute abdominal pain in children is a common cause for referral to the emergency room and for subsequent hospitalization to pediatric medical or surgical departments. There are rare occasions when the abdominal pain is derived from extra-abdominal organs or systems. The aim of the present study was to establish the most common extra-abdominal causes of acute abdominal pain.
The notes of all children (1 month-14 years of age) examined for acute abdominal pain in the Accident and Emergency (A&E) Department of Alexandroupolis District University Hospital in January 2001-December 2005 were analyzed retrospectively. Demographic data, clinical signs and symptoms, and laboratory findings were recorded, as well as the final diagnosis and outcome.
Of a total number of 28 124 children who were brought to the A&E department, in 1731 the main complaint was acute abdominal pain. In 51 children their symptoms had an extra-abdominal cause, the most frequent being pneumonia (n = 15), tonsillitis (n = 10), otitis media (n = 9), and acute leukemia (n = 5).
Both abdominal and extra-abdominal causes should be considered by a pediatrician who is confronted with a child with acute abdominal pain.
儿童急性腹痛是转诊至急诊室以及随后入住儿科内科或外科病房的常见原因。腹痛源自腹外器官或系统的情况较为罕见。本研究的目的是确定急性腹痛最常见的腹外病因。
回顾性分析2001年1月至2005年12月在亚历山德鲁波利斯地区大学医院急诊科接受检查的所有1个月至14岁因急性腹痛就诊儿童的病历。记录人口统计学数据、临床体征和症状、实验室检查结果以及最终诊断和转归。
在总共28124名被送往急诊科的儿童中，1731名的主要诉求是急性腹痛。其中51名儿童的症状由腹外病因引起，最常见的是肺炎（n = 15）、扁桃体炎（n = 10）、中耳炎（n = 9）和急性白血病（n = 5）。
面对患有急性腹痛的儿童，儿科医生应同时考虑腹内和腹外病因。
