小儿阑尾炎是小儿外科常见病之一。由于儿童解剖和生理上的特殊性 ,在本病的诊断方面存在如下困难 :①患儿不能清楚的提供病史 ;②病情发展快 ,全身症状出现早如发热、呕吐等 ;③体格检查不能满意合作 ,难以获得典型的体征。临床上常因此而使患儿失去最佳手术时机而影响治疗效 Pediatric appendicitis is one of the common diseases in pediatric surgery. Due to the special anatomy and physiology of children, the following difficulties exist in the diagnosis of this disease: ① children can not provide a clear history; ② the disease develops rapidly and the symptoms of the body appear as early as fever and vomiting; ③ physical examination can not cooperate satisfactorily , It is difficult to obtain the typical signs. Clinically so often the children lose the best timing of surgery and affect the treatment effect