期刊文献+

小儿急性阑尾炎的诊治体会 被引量:2

在线阅读 下载PDF
导出
摘要 目的总结小儿急性阑尾炎的临床特点,探讨其诊治方法。方法回顾性分析郑州大学第二附属医院自1995年6月~2004年12月近10年间116例急性阑尾炎患儿的临床资料及治疗方法。结果116例患儿主要表现为腹痛、发热、右下腹压痛及白细胞和/或中性粒细胞升高;手术105例(术后证实误诊3例),保守治疗11例;全部病例均痊愈出院。结论临床诊断小儿急性阑尾炎的主要依据仍然是腹痛、发热、右下腹固定性压痛、白细胞水平升高;对非典型及需要排除的临床表现类似的病例,腹部B超检查有重要意义;小儿急性阑尾炎一旦诊断确立,应立即手术;对疑似阑尾炎者,“积极观察”法可以降低阴性阑尾切除率。
出处 《医药论坛杂志》 2005年第8期49-50,共2页 Journal of Medical Forum
  • 相关文献

参考文献8

  • 1余世耀,施诚仁,潘伟华,王俊,沈涤华,张弛,王捍平,葛莉,徐长辉.儿童急性阑尾炎若干临床问题20年回顾分析[J].中华小儿外科杂志,2004,25(2):112-115. 被引量:65
  • 2夏慧敏,符柳江,魏青,邹焱,王浩然,余家康,李瑞琼,唐志贤.腹部超声诊断在小儿急性阑尾炎的作用[J].中华小儿外科杂志,2004,25(2):108-109. 被引量:38
  • 3Lessin MS,Chan M,Catallozzi M,et al. Selective use of ultrasonography for acute appendicitis in children. Am JSurg, 1999,177 : 193-196.
  • 4刘文英,俞松,唐耘熳,魏艇,王永刚,胡廷泽,蒋小平.小儿急性阑尾炎的诊治体会[J].中华小儿外科杂志,2004,25(2):116-118. 被引量:29
  • 5Kirby CP,Sparnon AL. Active observation of children with possible appendicitis does not increase morbidity.Aust NZ J Surg,2001,71:412-413.
  • 6郑继华.探讨高频超声诊断急性阑尾炎的应用价值[J].中国超声医学杂志,1998,14(4):49-49.
  • 7Velanovich V, Satava R. Balancing the normal appendectomy rate with the perforated appendicitis rate: implications for quality assurance. Am Surg, 1992,58 : 264-269.
  • 8Jones PF. Active observation in the management of acute abdominal pain in children. BMJ, 1976,2:551-553.

二级参考文献35

  • 1Carrico CW, Fenton LZ, Taylor GA, et al. Impact of sonography on the diagnosis and treatment of acute lower abdominal pain children and young adults. AJR, 1999, 172:513-516.
  • 2Karakas SP, Guelfguat M, Leonidas JC, et al. Acute appendicitis in children: Comparison of clinical diagnosis with ultrasound and CT imaging. Pediatr Radiol, 2000, 30: 94-98.
  • 3Emil S, Mikhail P, Laberge JM, et al. Clinical versus sonographic evaluation of acute appendicitis in children: A comparison of patient characteristics and outcomes. J Pediatr Surg, 2001, 36: 780-783.
  • 4Lessin MS, Chan M, Catallozzi M, et al. Selective use of ultrasonography for acute appendicitis in children. Am J Surg, 1999, 177:193-196.
  • 5Dilley A, Wesson D, Munden M, et al: The impact of ultrasound examinations on the management of children with suspected appendicitis: A 3-year analysis. J Pediatr Surg,2001, 36: 303-308.
  • 6Berry JJr, Malt RA. Appendicitis near its centenary. Ann Surg,1984, 200:567-575.
  • 7Velanovich V, Satava R. Balancing the normal appendectomy rate with the perforated appendicitis rate: implications for quality assurance. Am Surg, 1992,58: 264-269.
  • 8Memon MA, Fitztgibbons RJJr. The role of minimal access surgery in the acute abdomen. Surg Clin N Am, 1997, 77:1333-1353.
  • 9Gilmour IEW, Lowdon AGR. Acute appendicitis. Edib Bed J,1952, 59:361-373.
  • 10Heafield R, Roe AM, Watkins R, et al. Outcome of emergency surgical admissions for non-specific abdominal pain. Gut, 1990, 31:Al167.

共引文献125

同被引文献8

引证文献2

二级引证文献49

相关作者

内容加载中请稍等...

相关机构

内容加载中请稍等...

相关主题

内容加载中请稍等...

浏览历史

内容加载中请稍等...
;
使用帮助 返回顶部