临床小儿外科杂志2018，Vol.17Issue(1)：18-22,5.DOI:10.3969/j.issn.1671-6353.2018.01.005
新生儿阑尾炎的临床特点及病原学分析
Clinical manifestations and etiological analyses of neonatal appendicitis
侯金凤 1侯金平 1何昀 1郭振华 1曹建 1刘伟 1王佚1
作者信息
- 1. 重庆医科大学附属儿童医院胃肠新生儿外科,儿童发育疾病研究省部共建教育部重点实验室,重庆市儿童发育重大疾病诊治与预防国际科技合作基地,重庆市儿科学重点实验室 重庆市,400014
- 折叠
摘要
Abstract
Objective To provide references for clinical diagnosis and treatment of neonatal appendicitis by analyzing its clinical manifestations and etiology.Methods The clinical data were analyzed for 6 cases of neonatal appendicitis at our hospital and 149 cases reported during the last two decades.Results Fever,anorexia,vomiting,abdominal distention were four major manifestations in 155 cases of neonatal appendicitis.The incidence was 76.8％,73.5％,63.9％ and 53.5％ respectively.Pneumoperitoneum was suspected by abdominal plain film (n =36,23.2％) and seroperitoneum by abdominal ultrasonography (n =52,33.5％).Culturing of abdominal secretion was positive in 6 cases.The pathogens were Klebsiella pneumoniae (n =4),Hemophilus parainfluenzae with streptococcus pneumoniae (n =1) and Enterobacter cloacae (n =1).All 6 cases undergoing appendicectomy were cured with an average hospitalization stay of (15.0 t 7.8) days.Conclusion The manifestations of neonatal appendicitis with rapid progression are atypical.Abdominal distention,anorexia,fever and vomiting are four major symptoms.Klebsiella pneumoniae is a predominant pathogenic bacteria.And early surgery yields an excellent prognosis.关键词
阑尾炎/病理学,临床/婴儿,新生Key words
Appendicitis/Pathology, Clinical/Infant, Newborn引用本文复制引用
侯金凤,侯金平,何昀,郭振华,曹建,刘伟,王佚..新生儿阑尾炎的临床特点及病原学分析[J].临床小儿外科杂志,2018,17(1):18-22,5.
