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新生儿阑尾炎很少见,又由于缺乏典型的病史和体征,很难作出正确诊断,往往穿孔发生腹膜炎后还难与败血症、新生儿坏死性小肠炎鉴别。本院曾收治2例新生儿阑尾炎穿孔致气腹征,现将诊疗体会介绍如下。临床资料例1.男性,18天。因进行性腹胀、呕吐伴发热3天入院。C_1P_1,足月顺产,出生后即有胎粪。入院检查:T:38.6℃,P:130次/分,R:46次/分,体重:2.8kg,轻度脱水,皮肤及巩膜无黄染及出血点。极度腹胀,全腹压痛及肌紧张,移动性浊音阳性;肝浊界消失。立位腹部X线透视:双膈下大量新月状游离气体。白细胞总数:15×10~9/
Neonatal appendicitis are rare, but also due to the lack of a typical history and signs, it is difficult to make the correct diagnosis, perforation is often perforation is also difficult after sepsis and neonatal necrotizing enteritis differential. The hospital had admitted 2 cases of neonatal appendicitis perforation caused by perforation, diagnosis and treatment are now introduced as follows. Clinical data example 1. Male, 18 days. Because of progressive bloating, vomiting with fever 3 days admitted. C_1P_1, term full-term birth, that is, after birth, meconium. Admission examination: T: 38.6 ℃, P: 130 beats / min, R: 46 beats / min, weight: 2.8kg, mild dehydration, skin and sclera no yellow dye and bleeding points. Extreme abdominal distension, total abdominal tenderness and muscle tension, mobility dullness positive; liver turbidity world disappear. Standing abdomen X-ray: a large number of crescent-shaped free gas under the diaphragm. The total number of white blood cells: 15 × 10 ~ 9 /