溶血尿毒综合征误诊为急性阑尾炎。

Hemolytic-uremic syndrome confused with acute appendicitis.

作者信息

Edmonson M B, Chesney R W

出版信息

Arch Surg. 1978 Jun;113(6):754-5. doi: 10.1001/archsurg.1978.01370180096017.

DOI:10.1001/archsurg.1978.01370180096017

Abstract

Hemolytic-uremic syndrome (HUS) may have signs that are clinically indistinguishable from acute surgical diseases of the abdomen. A 2-year-old girl had HUS and physical findings leading to appendectomy. Various pediatric surgical and medical conditions are mimicked by HUS. Attention to specific diagnostic clues (anemia, evidence of hemolysis, thrombocytopenia, azotemia) may lead to the correct diagnosis of HUS and avoidance of an unnecessary operation.

摘要

溶血尿毒综合征（HUS）的体征在临床上可能与腹部急性外科疾病难以区分。一名2岁女童患有HUS，其体格检查结果导致了阑尾切除术。HUS可模仿多种儿科外科和内科病症。关注特定的诊断线索（贫血、溶血证据、血小板减少、氮质血症）可能有助于正确诊断HUS并避免不必要的手术。