论文部分内容阅读
目的 :总结探讨小儿急性阑尾炎、嵌顿疝、腹部闭合性损伤等急腹症的临床诊断和治疗。方法 :回顾性分析我院 1990～ 1999年收治的 84例小儿急腹症的病例 ,其中急性阑尾炎 47例 ,腹股沟疝嵌顿 18例 ,腹部闭合性损伤 11例 ,急性肠梗阻 4例 ,肠系膜淋巴结炎及胆道蛔虫各 2例。结果 :本组病例行阑尾切除术 41例 ,嵌顿疝高位结扎加修补术 5例 ,肠套叠复位加固定术 1例 ,脾修补和脾部分切除术各 1例 ,肠切除吻合术1例 ,胰腺囊肿外引流术 1例 ,其余给予保守治疗 ,均顺利恢复 ,治愈出院 ,无并发症及死亡。结论 :在对小儿腹部检查时 ,应注意小儿的特殊性 ;小儿急腹症的诊断 ,可辅以各种检查手段进行诊断和鉴别诊断 ,注意排除内科性腹痛 ;小儿阑尾炎易早期手术治疗 ,切口可采用横形或沿右侧腹横纹切口 ;小儿嵌顿疝多半可手法还纳 ,有手术指征者尽可能一期修补 ,在腹部损伤的治疗中 ,如证实有腹腔脏器破裂 ,需及时手术探查 ,方能挽救生命。
Objective: To summarize the clinical diagnosis and treatment of acute abdomen appendicitis, incarcerated hernia, abdominal closed injury and other acute abdomen diseases. Methods: A retrospective analysis of 84 cases of children with acute abdomen admitted in our hospital from 1990 to 1999, including 47 cases of acute appendicitis, 18 cases of inguinal hernia, 11 cases of closed abdominal injury, 4 cases of acute intestinal obstruction, mesenteric lymph node Inflammation and biliary ascariasis in 2 cases. Results: The group of patients underwent appendectomy in 41 cases, high ligation and incarcerated hernia in 5 cases, intussusception in 1 case, splenectomy and partial splenectomy in 1 case, bowel resection and anastomosis in 1 case , Pancreatic cyst drainage in 1 case, the remaining conservative treatment, were successfully recovered, cured and discharged, no complications and death. Conclusion: Children’s abdomen examination should pay attention to the particularity of children; diagnosis of pediatric acute abdomen can be supplemented by various means of diagnosis and differential diagnosis, pay attention to rule out medical abdominal pain; Pediatric appendicitis easy early surgical treatment, incision Can be horizontal or transverse incision along the right side of the abdomen; children with incarcerated hernia may also be satisfied with most of the way, there are indications for surgery as much as possible a repair in the treatment of abdominal injury, such as confirmed abdominal organs rupture, timely Surgical exploration, can save lives.