新生儿急性阑尾炎诊治分析

江西省赣州市妇幼保健院儿外科(江西省赣州市,341000),E-mail:598762661@qq.com

阑尾炎; 急性; 诊断; 治疗; 婴儿,新生

Diagnosis and treatment of neonatal acute appendicitis.
Liu Chuanrong, Luo Fuyu, Zhong Bin, Liu Hui, Wu Shuqing, Xu Jianbing, Huang Xiuming, Li Weijun, Yuan Ganfeng, Shu Fang.

Department of Surgery, Municipal Maternal & Children Health Hospital, Ganzhou 341000, China.Corresponding author: Liu Chuanrong, E-mail: 598762661@qq.com

Appendicitis; Acute; Diagnosis; Therapy; Infant,Newborn

DOI: 10.3969/j.issn.1671-6353.2017.01.023

备注

目的 总结新生儿阑尾炎的临床特点及发病原因,探讨新生儿急性阑尾炎的诊治方法。 方法 对2007 年3月至2012年12月作者收治的10例新生儿急性阑尾炎病例进行回顾性分析,对其临床症状、查体以及辅助检查结果、手术结果与后期的病理检查结果,进行综合分析。 结果 10例术中及病理检查均证实为新生儿阑尾炎,均行阑尾切除+盆腔引流术或阑尾切除术,均痊愈出院,无一例死亡或发生并发症。 结论 新生儿阑尾炎发病率极低,无典型临床表现及体征,误诊率和病死率高。结合临床表现、B超、X线及CT检查等有助于明确诊断,疑为本病时应及早手术探查,是减少误诊及降低病死率的有效办法。
Objective To explore the clinical features and pathogenesis of neonatal appendicitis and summarize the experiences of diagnosing and treating neonatal acute appendicitis. Methods Retrospective analyses were conducted for 10 neonates with acute appendicitis from March 2007 to December 2012. Their clinical symptoms, pathological examinations and auxiliary tests were recorded. Results Appendicitis was confirmed both by intraoperative findings and pathological examinations. Appendectomy and pelvic drainage were performed. All cases were cured and discharged without mortality or complication. Conclusion s The incidence of neonatal appendicitis is extremely low. With non-typical clinical symptoms and signs, its misdiagnostic and mortality rates are high. A definite diagnosis is dependent upon clinical manifestations, ultrasonography, radiology and computed tomography. Early operation is preferred for any suspected case.