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目的 探讨儿童急性肠扭转早期诊断方法 ,减少误诊率。方法 对 4 6例儿童肠扭转的病例进行回顾性分析 ,并重点分析其中 2 9例误诊的原因。结果 本组 4 6例 ,治愈 37例 ,死亡 9例 ,其中广泛小肠坏死 5例。 2 9例误诊的病例中 ,术前诊断为腹痛待查 6例 ,急性胃肠炎伴肠痉挛 5例 ,中毒性菌痢伴中毒性休克 6例 ,中毒性肺炎 2例。结论 了解儿童急性肠扭转的临床特征 ,熟悉其腹部X线影像 ,追踪观察 ,综合分析 ,是早期诊断的关键。
Objective To investigate the early diagnosis of acute intestinal volvulus in children and reduce the rate of misdiagnosis. Methods A retrospective analysis was performed on the cases of intestinal volvulus in 46 children and the causes of misdiagnosis were analyzed. Results The group of 46 cases, 37 cases were cured, 9 died, of which 5 cases of extensive intestinal necrosis. Among the 29 misdiagnosed cases, 6 cases were diagnosed as abdominal pain before operation, 5 cases were acute gastroenteritis with intestinal spasm, 6 cases were toxic bacillary dysentery with toxic shock and 2 cases were toxic pneumonia. Conclusion Understanding of the clinical features of children with acute intestinal torsion, familiar with its abdominal X-ray images, follow-up observation, comprehensive analysis, is the key to early diagnosis.