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目的总结小儿急腹症的早期诊断及手术治疗的经验。方法回顾性分析2003年5月～2010年7月某院普外科收治的318例小儿外科急腹症的临床资料。结果行手术治疗175例,其中3例术后切口感染,均经切口开放换药后治愈,1例阑尾周围脓肿引流术后残端瘘,保守治疗治愈,1例因急性出血性肠炎伴腹膜炎、肠坏死行肠切除术,术后因中毒性休克、脏器衰竭死亡;非手术治疗的患儿经积极保守治疗后均治愈。结论详细询问病史,细致的查体,结合必要的辅助检查是小儿急腹症早期诊断及治疗的基础;及时手术是小儿急腹症的重要治疗方法。
Objective To summarize the early diagnosis and surgical treatment of pediatric acute abdomen. Methods A retrospective analysis of clinical data of 318 cases of pediatric surgical acute abdomen admitted in general hospital from May 2003 to July 2010 was performed. Results Surgical treatment of 175 cases, of which 3 cases of incision infection, were cured after incision open dressing, 1 case of abscess drainage around the appendix after stump fistula, conservative treatment of cure, 1 case of acute hemorrhagic enteritis with peritonitis, Intestinal necrosis of bowel resection, postoperative toxic shock, organ failure death; non-surgical treatment of children after conservative treatment were cured. Conclusion Detailed history, detailed examination, combined with the necessary auxiliary examination is the basis of early diagnosis and treatment of pediatric acute abdomen; timely surgery is an important treatment of pediatric acute abdomen.