[1]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(01):18-22.
　Hou Jinfeng,Hou Jinping,He Yun,et al.Clinical manifestations and etiological analyses of neonatal appendicitis.[J].Journal of Clinical Pediatric Surgery,2018,17(01):18-22.
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新生儿阑尾炎的临床特点及病原学分析

《临床小儿外科杂志》[ISSN:1671-6353/CN:43-1380/R] 卷: 第17卷 期数: 2018年01期 页码: 18-22 栏目: 专题讨论 出版日期: 2018-01-28
Title:
Clinical manifestations and etiological analyses of neonatal appendicitis.
作者:
侯金凤　侯金平　何　昀　郭振华　曹　建　刘　伟　王　佚
重庆医科大学附属儿童医院胃肠新生儿外科
Author(s):
Hou Jinfeng; Hou Jinping; He Yun; Guo Zhenghua; Cao Jian; LiuWei; Wang Yi.
Childrens hospital of Chongqing Medical University,Key laboratory of Child Development & Disorders Cofounded by Provincial Government and Ministry of Education,Chongqing International Science and Technology Cooperation Center for Child Development & Disorders,Key Laboratory of Pediatrics in Chongqing,Chongqing,400014.
关键词:
阑尾炎; 病理学; 临床; 婴儿; 新生
Keywords:
Appendicitis;  Pathology;  Clinical;  Infant;  Newborn
文献标志码:
A
摘要:
目的　分析并总结新生儿阑尾炎的临床及病原学特点，为临床诊治提供参考。　方法　
回顾性分析本院收治的６例及近２０年来国内报道的１４９例新生儿阑尾炎病例资料，总结其临床及病原
学特点。　结果　１５５例新生儿阑尾炎症状前四位为发热、拒乳、呕吐和腹胀，其发生率分别为７６．８％、
７３．５％、６３．９％和５３．５％；腹部平片提示气腹３６例（占２３．２％），腹部超声异常５２例（占３３．５％）；本院
收治的６例患儿腹腔分泌物培养４例为肺炎克雷伯菌，１例为副流感嗜血杆菌合并肺炎链球菌，１例为
阴沟肠杆菌；６例患儿均经手术切除阑尾，均痊愈出院，平均住院时间（１５．０±７．８）ｄ。　结论　新生儿
阑尾炎临床表现不典型，以腹胀、拒乳、发热、呕吐为主要表现，病情进展快，病原学以肺炎克雷伯菌感染
为主，尽早手术，预后良好。
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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