Drake D P
J R Soc Med. 1980 Sep;73(9):641-5. doi: 10.1177/014107688007300909.
During a twelve-month period, 416 children with acute abdominal pain required emergency admission to Southampton General Hospital; 46% had operations. Appendicitis was the commonest organic cause of acute abdominal pain identified (31%). Constipation (9%) can present as acute abdominal pain simulating appendicitis. All children should have a urine sample examined microscopically and the finding of significant pyuria is suggestive, but not diagnostic, of a urinary tract infection (7%). Mesenteric adenitis, which can only be diagnosed with certainty at laparotomy, was less common (4%). Despite careful clinical assessment and follow up, 45% of children in this series remained undiagnosed. Sedation but not analgesia may assist in the diagnosis of the acute abdomen in children.
在为期十二个月的时间段内，416名患有急性腹痛的儿童需要紧急入住南安普敦综合医院；其中46%接受了手术。阑尾炎是已确定的急性腹痛最常见的器质性病因（31%）。便秘（9%）可表现为类似阑尾炎的急性腹痛。所有儿童都应进行尿液显微镜检查，显著脓尿的发现提示但不能确诊为尿路感染（7%）。肠系膜淋巴结炎只能在剖腹手术时确诊，其发病率较低（4%）。尽管进行了仔细的临床评估和随访，但该系列中的45%儿童仍未确诊。镇静而非镇痛可能有助于儿童急腹症的诊断。
