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目的:探究小儿内科急性腹痛的临床诊断及处理对策。方法:选取本院接受检查的60例小儿内科急性腹痛患儿作为研究对象,对所有患儿的临床诊疗资料进行回顾性分析。结果:60例患儿均得到有效治疗,3例经保守治疗无效后转手术治疗,均痊愈出院。急性胃肠炎26例,肠痉挛2例,细菌病毒感染14例。肠系膜淋巴结炎10例,阑尾炎1例,肠套叠3例,肠扭转2例,胆结石2例,1例漏诊,1例误诊,临床诊断符合率为96.7%。结论:小儿内科急性腹痛的病因较为复杂多样,临床诊断时应对患儿的疼痛特征进行详细分析,注意患儿及其家属的主诉,并结合其他检查结果,并依据其具体病情合理选择治疗方法。
Objective: To investigate the clinical diagnosis and treatment of acute abdominal pain in children. Methods: A total of 60 pediatric pediatric patients with acute abdominal pain were selected as the study subjects, and all the clinical data were retrospectively analyzed. Results: Sixty cases of children were effectively treated, and three cases were treated by conservative treatment. All cases were cured and discharged. 26 cases of acute gastroenteritis, intestinal spasm in 2 cases, bacterial infection in 14 cases. 10 cases of mesenteric lymphadenitis, 1 case of appendicitis, 3 cases of intussusception, 2 cases of intestinal torsion, 2 cases of gallstones, 1 case missed diagnosis and 1 case misdiagnosed. The coincidence rate of clinical diagnosis was 96.7%. Conclusion: The causes of acute abdominal pain in pediatric medicine are complex and diverse. The clinical features of children with acute abdominal pain should be analyzed in detail. The main complaints of children and their families should be paid attention to, and combined with other test results, the reasonable choice of treatment should be based on their specific conditions.