Hou Jinfeng,Hou Jinping,He Yun,et al.Clinical manifestations and etiological analyses of neonatal appendicitis.[J].Journal of Clinical Pediatric Surgery,,17():18-22.
Clinical manifestations and etiological analyses of neonatal appendicitis.
Journal of Clinical Pediatric Surgery[ISSN:1671-6353/CN:43-1380/R]
volume:
第17卷
Number:
2018 01
Page:
18-22
Column:
专题讨论
Date of publication:
2018-01-28
- Keywords:
- Appendicitis; Pathology; Clinical; Infant; Newborn
- Document code:
- A
- Abstract:
- ObjectiveTo provide references for clinical diagnosis and treatment of neonatal appendicitis by analyzing its clinical manifestations and etiology.MethodsThe clinical data were analyzed for 6 cases of neonatal appendicitis at our hospital and 149 cases reported during the last two decades.ResultsFever,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±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.
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