14例小儿急性阑尾炎误诊分析

目的：分析儿童阑尾炎误诊原因,降低儿童阑尾炎的误诊率,减少术后并发症及阑尾炎误诊的发生。方法：回顾本院近6年收治的237例急性阑尾炎患儿中14例误诊病例的临床资料,对病史、体征、相关检查结果、手术所见进行回顾性统计研究,分析误诊原因。结果：入院诊断为阑尾炎很快即明确诊断为其他疾病3例、经手术治疗证实为其他疾病6例;入院诊断为其他疾病经过治疗无好转从而行必要的探查手术证实为阑尾炎4例;新生儿疾病经辨证治疗诊断为阑尾炎1例。结论：对小儿急性阑尾炎的临床症状特点缺乏足够的认识,腹部体征的掌握不准确及过多依赖辅助检查是误诊的主要原因。

Misdiagnosis of 14 Cases Children with Acute Appendicitis

Objective： Analysing the causes of misdiagnosis of appendicitis in children, reducing the rate of misdiagnosis of appendicitis in children, reducing postoperative complications and the incidence of misdiagnosis of appendicitis. Method： Recalling the past six years, admitted to our hospital 237 cases of children with acute appendicitis in 14 cases of misdiagnosed cases of clinical information on the history, signs, relevant test results, surgical findings were reviewed statistical ly and analyzed the causes of misdiagnosis. Result： Admission diagnosis of appendicitis were quickly diagnosed as other diseases in 3 cases, after surgical treatment for other diseases, 6 cases of confirmed; hospital diagnosed as other diseases had been treated without improvement in order to line the necessary surgical exploration confirmed appendicitis in 4 cases; neonatal diseases the differential treatment of diagnosis of appendicitis in 1 case. Conclusion： On the clinical symptoms of acute appendicitis in children characterized by a lack of adequate knowledge of signs of mastery of the abdomen and excessive reliance on inaccurate secondary screening is the main reason for misdiagnosis.