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目的探讨婴幼儿急性阑尾炎的诊断及治疗特点。方法收集我院自2003年11月~2009年12月期间共收治的49例婴幼儿急性阑尾炎的临床资料,总结分析临床特点及治疗经验。结果 49例均有发热、腹痛、中性粒细胞升高的主要临床表现,25例有腹胀、呕吐,15例有腹泻,9例有肠梗阻,49例均行手术治疗,经术中及病理证实诊断,术后均恢复良好。结论婴幼儿急性阑尾炎因发作时缺乏典型的病史和腹部体征,常易误诊和延误治疗,发热、腹痛、中性粒细胞升高仍为其诊断的主要依据,婴幼儿急性阑尾炎一经诊断应尽早积极手术治疗,以避免严重并发症的发生。
Objective To investigate the diagnosis and treatment of acute appendicitis in infants and young children. Methods The clinical data of 49 infants and young children with acute appendicitis who were admitted to our hospital from November 2003 to December 2009 were collected and analyzed. Clinical characteristics and treatment experience were summarized. Results All the 49 cases had the main clinical manifestations of fever, abdominal pain and neutrophilic granulocyte. 25 cases had abdominal distension and vomiting, 15 cases had diarrhea, 9 cases had intestinal obstruction, and 49 cases were treated by surgery. After operation and pathology Confirmed diagnosis, postoperative recovery is good. Conclusion Acute appendicitis in infants and young children lack of typical history and signs of abdomen due to seizures, often misdiagnosis and delayed treatment, fever, abdominal pain, neutrophils is still the main basis for the diagnosis of acute appendicitis in infants and young children should be diagnosed as soon as possible once positive Surgical treatment to avoid the occurrence of serious complications.