摘要
目的探讨分析100例小儿急性腹痛的病因及临床针对性治疗。方法回顾性分析我院2015年1月至2019年1月收治的100例急性腹痛患儿的临床资料,采用鉴别排除及问诊等方式诊断患儿,并以最终诊断结果为依据,及时给予针对性治疗,观察治疗效果并分析病因。结果患儿治疗总有效率为92.00%。小儿急性腹痛的病因主要包括外科性(急性阑尾炎、肠梗阻、胃穿孔),占比24.00%;器质性病变(急性胰腺炎、细菌性痢疾、急性胃肠炎、消化性溃疡、肠系淋巴结炎、过敏性癫痫),占比40.00%;功能性病变(肠绞痛、肠套叠、胃肠痉挛、肠道蛔虫病、精神性腹痛),占比27.00%;全身性病变(心肌炎、肺炎、胸膜炎),占比6.00%;药物应用,占比3.00%。100例患儿中,误诊率为5.00%。结论小儿急性腹痛病因复杂多样,临床应根据病情仔细分辨,结合多项辅助检查准确诊断,并给予针对性治疗,提高临床疗效。
Objective To investigate and analyze the etiology and clinical targeted treatment of 100 children with acute abdominal pain. Methods The clinical data of 100 children with acute abdominal pain admitted in our hospital from January 2015 to January 2019 were retrospectively analyzed. The children were diagnosed by differential exclusion and interrogation. Based on the final diagnosis results, targeted treatment was given in time to observe the therapeutic effect and analyze the causes. Results The total effective rate of treatment was 92.00%. The causes of acute abdominal pain in children mainly included surgical etiology(acute appendicitis, intestinal obstruction and gastric perforation), accounting for 24.00%;organic diseases(acute pancreatitis, bacterial dysentery, acute gastroenteritis, peptic ulcer, intestinal lymphadenitis and allergic epilepsy), accounting for 40.00%;functional diseases(colic, intussusception, gastrointestinal spasm, intestinal ascariasis and mental abdominal pain), accounting for 27.00%;systemic diseases(myocarditis, pneumonia and pleurisy),accounting for 6.00%;taking medicine, accounting for 3.00%. In 100 children, the misdiagnosis rate was 5.00%.Conclusion The causes of acute abdominal pain in children are complex and varied. Clinically, it should be carefully distinguished according to the condition, accurately diagnosed by multiple auxiliary examinations, and given targeted treatment to improve the clinical efficacy.
作者
李於朋
蔺永明
LI Yu-peng;LIN Yong-ming(Dali County Maternal and Child Health Care Hospital,Weinan 715100,China)
出处
《临床医学研究与实践》
2020年第2期118-119,共2页
Clinical Research and Practice
关键词
小儿急性腹痛
病因判断
误诊
acute abdominal pain in children
etiology judgment
misdiagnosis
