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目的:探讨儿内科急性阑尾炎的误诊原因,减少误诊率,提高临床治愈率,减少并发症。方法:对40例被误诊的急性阑尾炎患儿误诊情况和误诊原因进行分析。结果:40例患儿均于就诊后24~48小时转入儿外科治疗,37例经手术证实为急性阑尾炎,均给予阑尾切除术治疗痊愈,3例确诊为阑尾周围脓肿,先给予保守治疗,症状缓解后3个月左右给予阑尾切除手术治疗痊愈。结论:对于无明确病因的急性腹痛、发热、呕吐、腹泻患儿应高度警惕急性阑尾炎的可能。细致的体格检查和对病情的认真观察是降低误诊率是关键。
Objective: To investigate the causes of misdiagnosis of acute appendicitis, reduce the rate of misdiagnosis, improve the clinical cure rate and reduce the complications. Methods: The misdiagnosis and misdiagnosis of 40 cases of misdiagnosed acute appendicitis were analyzed. Results: All the 40 children were admitted to pediatric surgery 24 to 48 hours after treatment. 37 cases were proved to be acute appendicitis by operation, all were treated with appendectomy, 3 cases were diagnosed as appendectomy, conservative treatment, About 3 months after symptom relief given appendectomy surgery cured. Conclusion: For acute abdominal pain without definite etiology, children with fever, vomiting and diarrhea should be highly alert to the possibility of acute appendicitis. Careful physical examination and careful observation of the disease is to reduce the rate of misdiagnosis is the key.