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本文就小儿急性阑尾炎的诊断为治疗问题发表个人体会如下,供同道们参考。一、临床资料:本组56例,其中男39例,女17例,年龄最小1 8/12岁,5岁以下11例,5岁以上45例。发病到就诊时间最短4小时,最长9天,一般1～3天。转移性右下腹痛45例,腹肌紧张、压痛、反跳痛44例,仅有压痛12例。白细胞计数10×10~9/L以下者8例,以上者48例。尿检有红细胞3例。B超检查13例,11例阑尾区为低回声和混合声占位,本组治疗方法;采用非手术者2例,手术54例。阑尾周围脓肿4例一期切除阑尾,1例手术引流。
This article on the diagnosis of acute appendicitis in children for the treatment of personal personal experience is as follows, for fellow reference. First, the clinical data: The group of 56 patients, 39 males and 17 females, the youngest 18/12 years old, 5 years of age in 11 cases, 45 years of age over 5 years. The onset of treatment to the shortest 4 hours, up to 9 days, usually 1 to 3 days. 45 cases of metastatic right lower abdominal pain, abdominal muscle tension, tenderness, rebound pain in 44 cases, only tenderness in 12 cases. Eight patients with a white blood cell count of 10 × 10 ~ 9 / L or less, 48 cases above. Urine examination of red blood cells in 3 cases. B-ultrasound in 13 cases, 11 cases of appendiceal area for hypoechoic and mixed sound occupying the group treatment; non-operation in 2 cases, 54 cases of surgery. Appendectomy around the appendix 4 cases of an appendectomy, 1 case of surgical drainage.