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年幼儿和老年人的阑尾炎常常漏诊和误诊。学龄前儿童的胃肠炎和阑尾炎的早期鉴别诊断常较困难,以致穿孔、脓肿形成手术后并发症的发生率增高。本文报告儿童急性阑尾炎183例,年龄10个月～6岁,男98例,女85例,155例(84.6%)得到手术证实,而28例阑尾无病变。155例中97例(62%)的阑尾穿孔,穿孔率从有症状期短于20小时的8%上升到有症状期长于80小时的87%。早期出现的最常见症状是腹痛(100%),发热(81%),恶心、呕吐或二者兼有(80%),厌食(60%)及腹泻(10.6%)。4岁以下患儿弥漫性腹
Appendicitis in young children and the elderly is often misdiagnosed and misdiagnosed. Early differential diagnosis of gastroenteritis and appendicitis in preschool children is often difficult, resulting in an increased incidence of complications after perforation and abscess formation. This paper reports 183 children with acute appendicitis, aged 10 months to 6 years old, 98 males and 85 females, 155 cases (84.6%) were confirmed by surgery, and 28 cases of appendix lesions. Pericardial perforation occurred in 97 (62%) of 155 patients, with a perforation rate increasing from 8% in symptomatic periods of less than 20 hours to 87% in symptomatic periods of more than 80 hours. The most common early symptoms were abdominal pain (100%), fever (81%), nausea, vomiting, or both (80%), anorexia (60%) and diarrhea (10.6%). Children under the age of 4 diffuse belly