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[幼儿阑尾炎的诊断]

[Diagnosis of appendicitis in early childhood].

作者信息

Jobst M

机构信息

Klinik für Chirurgie, Heinrich-Braun-Krankenhaus Zwickau, Akademisches Lehrkrankenhaus der Universität Leipzig.

出版信息

Zentralbl Chir. 1998;123 Suppl 4:77-9.

PMID:9880880
Abstract

89 preschool children, 2-4 years old, treated under the diagnosis of appendicitis were analyzed, 46 of them were operated. In 40% of those children the diagnosis of an acute nonperforated appendicitis could have been ensured, in 40% the diagnosis of a perforated appendicitis was found, in 20% the laparotomy was negative. In cases of an acute nonperforated appendicitis typical symptoms were vomiting (100%), general stomach-ache (89%) and fever (61%). In most cases of an perforated appendicitis the state of patients was reduced drastically (80%), in 50% an ileus could be observed. Duration of anamnesis was less than 24 hours with all the children who suffered from acute nonperforated appendicitis and with one fourth of the children suffering from perforated appendicitis.

摘要

对89名2至4岁被诊断为阑尾炎并接受治疗的学龄前儿童进行了分析,其中46人接受了手术。在这些儿童中,40%可确诊为急性非穿孔性阑尾炎,40%被发现为穿孔性阑尾炎,20%的剖腹手术结果为阴性。在急性非穿孔性阑尾炎病例中,典型症状为呕吐(100%)、全腹痛(89%)和发热(61%)。在大多数穿孔性阑尾炎病例中,患者的状况急剧恶化(80%),50%可观察到肠梗阻。所有患急性非穿孔性阑尾炎的儿童以及四分之一患穿孔性阑尾炎的儿童,其病史持续时间均少于24小时。

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