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蛔虫性急腹症临床常见。我院小儿外科1980年至1991年共收治蛔虫性急腹症115例,占同期急腹症住院病例的6.32%,其发生率仅次于急性阑尾炎、嵌顿性斜疝和肠套叠而居第四位。115例中,蛔虫性肠梗阻81例,胆道蛔虫26例,阑尾蛔虫7例,胰管蛔虫1例。保守治疗79例,手术36例。除2例因肠穿孔伴中毒性休克术后死亡外,其余均治愈。小儿蛔虫性急腹症可导致肠穿孔、腹膜炎、肝脓肿等严重并发症,及早正确诊治极为重要。
Roundworm acute abdomen clinical common. Pediatric surgery in our hospital from 1980 to 1991, a total of 115 cases of roundworm acute abdomen, accounting for 6.32% of hospitalized cases of acute abdomen over the same period, the incidence of second only to acute appendicitis, incarcerated hernia and intussusception In fourth place. In 115 cases, 81 cases of ascariasis, 26 cases of biliary ascariasis, 7 cases of appendix roundworm and 1 case of pancreatic duct roundworm. Conservative treatment of 79 cases, 36 cases of surgery. In addition to 2 cases of intestinal perforation with toxic shock after death, the rest were cured. Ascaris acute abdomen in children can lead to intestinal perforation, peritonitis, liver abscess and other serious complications, early diagnosis and treatment is extremely important.