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目的探讨首诊于儿内科小儿急性阑尾炎患儿的临床特点,提高早期诊断率,减少并发症。方法对2003年5月至2009年4月首诊于上蔡县人民医院儿内科的33例急性阑尾炎患儿的临床资料进行回顾性分析。结果本组患儿均于就诊后24～48 h内转入外科,33例经手术治疗均证实为急性阑尾炎,其中16例阑尾穿孔并发弥漫性腹膜炎。结论对无明确病因的急性腹痛、发热、呕吐、腹泻患儿应高度警惕阑尾炎的可能,耐心细致的体检和动态观察腹部体征变化是降低误诊率的关键。
Objective To investigate the clinical features of pediatric acute appendicitis in children with pediatric internal medicine, to improve the early diagnosis rate and reduce the complications. Methods The clinical data of 33 children with acute appendicitis who were first diagnosed in the department of internal medicine of Shangcai County People’s Hospital from May 2003 to April 2009 were analyzed retrospectively. Results The patients in this group were admitted to the department of surgery 24 to 48 hours after their visit. 33 cases were proved to be acute appendicitis by surgery, of which 16 cases were perforation complicated by peritonitis. Conclusions Children with fever, vomiting and diarrhea should be highly alert to the possibility of appendicitis in patients with acute abdominal pain, fever, vomit and diarrhea without definite cause. Patient and meticulous examination and dynamic observation of signs of abdomen are the key to reduce the rate of misdiagnosis.