Objective To explore the clinical and pathological character of child acute appendicitis. Methods The clinical da!.a of 50 cases of children with acute appendicitis and 50 cases of adults with acute appendicitis were analyzed and compared, and the clinical and pathological character of children acute appendicitis was inducted through the analysis and comparison. Results Significant difference was found in the distribution of symptom and sign between the child group and the adult group (x2=5.24, x2=6.24, both P < 0.05), and significant, difference was also found in the distribution of distribution of pathological style between the two groups (x2=5.83, P < 0.05), but no similar difference was found in the sensitivity of ultrasound in diagnosing appendicitis between the two groups. Conclusion The clinical appearance and the distribution of pathological styles of child appendicitis are different from those of adult appendicitis, and the masteiy of clinical appearance of child appendicitis, the patient inquiry and the detailed physical examination are the basics of accurate diagnosis of child appendicitis. Ultrasound Is a valuable assistant Investigation of child appendicitis.%目的 探讨儿童急性阑尾炎的临床和病理特点.方法 分析50例儿童急性阑尾炎的临床资料,并与50例成人阑尾炎临床资料比较,归纳儿童急性阑尾炎的临床和病理特点.结果 儿童组和成人组在症状、体征表现的分布上差异均有统计学意义(X2=5.24,X2=6.24,均P<0.05).儿童组和成人组B超诊断敏感度差异无统计学意义(X2=0.32,P>0.05).儿童组和成人组阑尾炎患者在病理学分型上差异有统计学意义(X2=5.83,P<0.05).结论 儿童急性阑尾炎临床表现及病理类型分布均与成人有较大不同.掌握儿童阑尾炎的临床表现特点,对患儿进行耐心的询问和详细的体查是确诊的基础,彩超有较好的辅助诊断价值.
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