中国全科医学2016，Vol.19Issue(33)：4133-4136,4.DOI:10.3969/j.issn.1007-9572.2016.33.023
早产儿阑尾炎一例误诊分析
Misdiagnosis Analysis of One Case of Preterm Infant with Acute Appendicitis
杨祖钦 1曹小敏 2黄玉梅 1陈鲜威1
作者信息
- 1. 325000 浙江省温州市，温州医科大学附属第二医院育英儿童医院新生儿科
- 2. 温州市鹿城区人民医院门诊部
- 折叠
摘要
Abstract
Objective To explore the clinical characteristics of preterm infant with acuteappendicitis,avoid premature appendicitis misdiagnosis. Methods The clinical characteristics,laboratory and imaging findings,misdiagnosis,treatment outcome and prognosis of preterm with the acuteappendicitis were analyzed retrospectively. The case was hospitalized in the 2nd Affiliated Hospital of Wenzhou Medical University from December 2015 to January 2016. Results The premature disease progressed. The abdomen distended. The premature reaction became poor with high CRP. Abdominal X - ray showed that the accumulation of gas obvious in the intestinal segment and bowel dilatation. Abdominal puncture fluid leucocyte tested positive ( + + + ). Three times pediatric surgery consultation were done. The laparotomy exploration operation had been done after the sixth day. The gangrenous and perforated was confirmed in the operation. The appendectomy,ankylenteron operation,peritoneal lavage and drainage were done. The illness was cured. Pathology report showed the acute suppurative appendicitis with peripheral inflammation. Conclusion The pathogenesis of premature appendicitis rate was extremely low with no typical clinical symptoms and signs. The misdiagnosis rate was high. The preoperative diagnosis was difficult. When the disease was suspected,it should be checked by the ultrasound,abdominal puncture and radiography early. Surgical exploration should be done if the symptoms were not improved.关键词
阑尾炎/婴儿,早产,疾病Key words
Appendicitis/Infant,premature,diseases分类
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杨祖钦,曹小敏,黄玉梅,陈鲜威..早产儿阑尾炎一例误诊分析[J].中国全科医学,2016,19(33):4133-4136,4.
