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目的:分析小儿肠系膜淋巴结炎的临床发病特点,总结诊治方法。方法:对本院2013年2月-2013年10月确诊收治的74例小儿肠系膜淋巴结炎患儿的诊治情况进行回顾性分析。结果:74例患儿均有不同程度的腹痛,主要部位为脐周痛(67.45%)和右下腹痛(26.7%),多为阵发性腹痛,间歇期如常。男性患儿略多与女性,年龄以4-7岁为主,多数患儿腹痛前有发热、咳嗽、腹泻、呕吐等症状,腹部彩色多普勒超声均显示肠系膜淋巴结肿大。结论:小儿肠系膜淋巴结炎多并发于呼吸道或消化道感染,发热、脐周及右下腹痛是其常见表现,腹部彩色多普勒超声可以确诊,预后良好,但应与阑尾炎鉴别。
Objective: To analyze the clinical features of children with mesenteric lymphadenitis and summarize the diagnosis and treatment methods. Methods: The diagnosis and treatment of 74 children with mesenteric lymphadenitis diagnosed in our hospital from February 2013 to October 2013 were retrospectively analyzed. Results: All the 74 children had different degrees of abdominal pain. The main sites were periumbilical pain (67.45%) and right lower quadrant pain (26.7%), mostly paroxysmal abdominal pain, intermittent as usual. Male with slightly more children and women, aged 4-7 years old, most children with abdominal pain before fever, cough, diarrhea, vomiting and other symptoms, abdominal color Doppler ultrasound showed mesenteric lymph nodes. CONCLUSIONS: Most children with mesenteric lymphadenitis are complicated by respiratory or digestive tract infections. Fever, periumbilical and lower right abdominal pain are common manifestations. Abdominal color Doppler ultrasound can be diagnosed with good prognosis, but should be distinguished from appendicitis.