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目的:对儿童急性肠系膜淋巴结炎与急性阑尾炎鉴别诊断进行分析。方法:采取回顾性的方法对120例小儿急性肠系膜淋巴结与急性阑尾炎患者作为研究对象,对其诊断资料进行分析。结果:该120例患儿中有10例出现误诊;该10患儿经再次诊断确定为儿童急性肠系膜淋巴结炎,所占比例为8.33%;将其阑尾切除送检后病理报告显示7例为肠系膜淋巴结炎,3例伴慢性阑尾炎。结论:急性阑尾炎和急性肠系膜淋巴结炎是儿儿童时期最容易混淆的常见病,一旦患儿得不到正确的诊断,就会导致误诊进一步耽误治疗,给患儿造成不必要的痛苦;因此对于鉴别诊断两种疾病在临床上应加以重视。
Objective: To analyze the differential diagnosis of acute mesenteric lymphadenitis and acute appendicitis in children. Methods: A retrospective analysis of 120 cases of children with acute mesenteric lymph nodes and acute appendicitis as the object of study, the diagnostic data were analyzed. Results: 10 of 120 cases were misdiagnosed. The 10 children were confirmed as re-diagnosis of acute mesenteric lymphadenitis in children, accounting for 8.33%. The pathological report of appendectomy and resection showed that 7 cases were mesentery Lymphadenitis, 3 cases with chronic appendicitis. CONCLUSIONS: Acute appendicitis and acute mesenteric lymphadenitis are the most common confounders in childhood. Once a child fails to get a correct diagnosis, they can cause further misdiagnosis and cause unnecessary suffering to the child. Therefore, for the identification of Diagnosis of two diseases should be taken seriously in clinical practice.