Clinical features of children's acute appendicitis
- VernacularTitle:儿童急性阑尾炎的临床特点
- Author:
Xiangping XUE
;
Min NIE
- Publication Type:Journal Article
- Keywords:
Clinical features;
Children;
Acute appendicitis
- From:
Chinese Journal of Postgraduates of Medicine
2013;36(z1):38-39
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the clinical features of children's acute appendicitis in order to reduce the misdiagnose rate.Method Collect and retrospective analyse 77 cases clinical data of children's acute appendicitis from January 2008 to December 2011 in our hospital.Results There are 77 cases abdominal pain,61 cases fever,48 cases vomiting in 77 children,22 cases(28.57％) misdiagnosis or missed diagnosis in total.17 cases with appendix perforation,the perforation rate is 22.07％.49 cases receive surgery,28 cases receive conservative treatment.All are improved and cured and discharged.Conclusions The main clinical features of children's acute appendicitis is abdominal pain,fever and vomiting.When clinical features is not classic,there is higher rate of misdiagnosis and missed diagnosis,especially for infants.Stress that for children with unreasonable abdominal pain and fever,it is necessary to check leukocyte,CRP and type-B ultrasonic,observe the abdominal sign continually,in order to diagnose and treat early.
