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目的:分析小儿阑尾炎误诊的常见原因。方法:回顾分析近10 a医院治疗的首诊其他疾病而手术证实为阑尾炎的小儿患者资料69例。结果:69例中误诊为胃肠炎22例,肠系膜淋巴结炎18例,胃肠型感冒7例,肠套叠5例,肺炎及细菌性痢疾各4例,肠结核3例,原发性腹膜炎、卵巢囊肿蒂扭转及肠蛔虫症各2例。结论:小儿阑尾炎临床表现不典型,容易误诊,常导致延误治疗。
Objective: To analyze the common causes of misdiagnosis in children with appendicitis. Methods: A retrospective analysis of 69 cases of pediatric patients with appendicitis confirmed by surgery in the first 10 years of hospital treatment of other diseases. Results: 69 cases were misdiagnosed as gastroenteritis in 22 cases, mesenteric lymphadenitis in 18 cases, gastrointestinal influenza in 7 cases, intussusception in 5 cases, pneumonia and bacillary dysentery in 4 cases, 3 cases of intestinal tuberculosis, primary peritonitis , Ovarian cyst torsion and intestinal ascariasis in 2 cases. Conclusion: Pediatric appendicitis clinical manifestations are not typical, easy to misdiagnosis, often lead to delayed treatment.