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目的分析小儿内科急性腹痛的临床特点与治疗体会。方法 80例急性腹痛患儿,根据患儿临床特点,及时诊断和积极治疗。观察临床特点与治疗效果。结果在80例患儿当中,治疗总有效率为100%,无一例误诊、漏诊病例发生。治疗后患儿的疼痛感平均分为(41.2±1.0)分,较治疗前的(77.4±3.8)分明显降低,差异有统计学意义(P<0.05)。经分析后发现导致小儿急性腹痛的主要疾病有肠系膜淋巴结炎、胃炎、消化性溃疡、急性阑尾炎、急性胃肠炎、急性菌痢、肠痉挛、粪便堵塞、药物胃肠道反应、过敏性紫癜、胆道蛔虫症以及肠叠套等。结论小儿内科急性腹痛的病因较为复杂多样,接诊腹痛患儿时不同与成人,很难问出详细可靠的病史,全面分析发病原因,结合临床特点,对症治疗,可有效提高治愈率。
Objective To analyze the clinical features and treatment of acute abdominal pain in children. Methods 80 cases of acute abdominal pain in children, according to the clinical features of children, timely diagnosis and active treatment. Observe the clinical features and treatment effect. Results 80 cases of children, the total effective rate was 100%, no case of misdiagnosis, missed cases. The average pain score of children after treatment was (41.2 ± 1.0) points, which was significantly lower than that before treatment (77.4 ± 3.8) points, the difference was statistically significant (P <0.05). The analysis found that the main diseases leading to acute abdominal pain in children are mesenteric lymphadenitis, gastritis, peptic ulcer, acute appendicitis, acute gastroenteritis, acute bacillary dysentery, intestinal spasm, stool congestion, gastrointestinal reactions, allergic purpura, Biliary ascariasis and intestine, etc. Conclusions The causes of acute abdominal pain in pediatric medicine are complex and diverse. It is difficult to ask a detailed and reliable medical history when children with abdominal pain are different and adults are admitted. A comprehensive analysis of the causes of the disease and symptomatic treatment based on clinical features can effectively improve the cure rate.