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目的 :探讨 3岁以下的婴幼儿阑尾炎出现腹泻症状的重要性。方法 :对 1987年 1月至 1997年 2月间3岁以下 6 3例幼儿的阑尾切除术病例进行了一系列回顾。用多元回归分析法对造成住院时间延长的原因进行分析。结果 :本组 6 3例幼儿平均年龄 2 .3± 5岁。从症状的起始到完全明显平均延迟时间 4.3± 3 2天。 5 7%起初误诊 ,腹泻症状占 33% ,阑尾穿孔和 /或坏疽和明显腹泻症状是造成住院时间延长的原因。结论 :3岁以下幼儿阑尾炎以易延误诊断和阑尾穿孔为其特点。腹泻病史是混淆诊断 ,延长观察时间和拖延适当治疗的重要因素。
Objective: To investigate the importance of diarrhea in appendicitis of infants and children under 3 years of age. Methods: A retrospective series of appendectomy cases were performed among 63 children under 3 years of age from January 1987 to February 1997. Multiple regression analysis was used to analyze the reasons for prolonged hospital stay. Results: The average age of 63 infants in this group was 2.3 ± 5 years old. From the onset of the symptoms to a completely clear average delay of 4.3 ± 32 days. 5 7% Initially misdiagnosed, with 33% of diarrhea symptoms, appendectomy and / or gangrene and obvious diarrhea as contributing to prolonged hospital stay. Conclusion: Appendicitis in children younger than 3 years is characterized by easy diagnosis and perforated appendectomy. The history of diarrhea is an important factor in confounding the diagnosis, prolonging the duration of the observation and delaying the appropriate treatment.