摘要
目的:探讨如何及时、正确诊断不典型阑尾炎。方法:收集临床首次诊断均不考虑为阑尾炎或诊断模糊需鉴别诊断,但经手术后病理证实为阑尾炎的患者134例,回顾性分析其CT结果、年龄分布,并总结经验。结果:134例患者中具有阑尾炎的CT表现者为130例,占97.01%;65岁以上阑尾炎患者占35.82%。结论:对于不典型阑尾炎,要正确认识腹痛部位及程度、注意观察消化道症状、选择合适的影像学检查、注意特殊类型阑尾炎,结合患者的病史,细心全面检查体征,才能正确诊断。
Objective：To explore how timely and correct diagnosis of atypical appendicitis.Methods：The first clinical diagnosis of appendicitis or not to consider the differential diagnosis diagnosis fuzzy needs,but after surgery and pathology confirmed 134 cases of appendicitis cases,retrospectively analyzed CT findings,age distribution,and lessons learned.Results： 134 cases with appendicitis CT performance in 130 cases,accounting for 97.01%;65 years old accounted for 35.82% of appendicitis patients.Conclusion：The atypical appendicitis,to correctly understand the location and degree of abdominal pain,gastrointestinal symptoms observe,select the appropriate imaging studies,a special type of appendicitis look,combined with a comprehensive medical history and check the signs carefully,to correct diagnosis.
出处
《中国当代医药》
2010年第22期25-26,共2页
China Modern Medicine
关键词
不典型
阑尾炎
诊断
Atypical
Appendicitis
Diagnosis
