摘要
目的探讨超声诊断儿科急腹症的应用价值。方法回顾性分析佛山市第一人民医院2014年1月至2014年12月收治的儿科急腹症患儿184例临床资料,所有患儿均采用多普勒超声检查,以手术、病理及内镜检查作为最终明确诊断标准。结果 184例患儿经超声诊断总体符合165例,诊断符合率为89.7%,急性阑尾炎患儿中1例误诊为急性腹膜炎;急性肠系淋巴结炎患儿中2例误诊为急性阑尾炎,3例误诊为急性肠套叠,2例出现漏诊;原发性肠套叠患儿中3例误诊为急性阑尾炎,1例误诊为蛔虫性肠梗阻,2例出现漏诊;急性胰腺炎患儿中2例误诊为急性阑尾炎;胆道蛔虫患儿中1例误诊为急性阑尾炎;3例泌尿系统结石患儿中1例误诊为急性阑尾炎,1例误诊为胆囊结石,1例出现漏诊。结论超声诊断儿科急腹症符合率高,临床医师应结合患儿的临床特征、病史及其它必要的辅助检查提升诊断的准确性,降低误诊及漏诊率。
Objective To explore the value of ultrasound diagnosis of 184 cases with pediatric acute abdomen. Methods Retrospective analysis 184 cases with pediatric acute abdomen clink data from the first people＇s hospital of foshan from January 2014 to December 2014. All patients were used doppler ultrasound Inspection. and surgery,pathology and endoscopy as the final diagnostic criteria. Results the Overall compliance was 165 cases in 184 children with ultrasound diagnosis. the diagnosis rate was 89. 7%. 1 case of acute appendicitis in children misdiagnosed as acute peritonitis; 2 case with acute mesenteric lymphadenitis misdiagnosed as acute appendicitis,3 cases misdiagnosed as acute intussusception,2 cases arise missed. 3 cases with primary intussusception misdiagnosed as acute appendicitis. 1 cases was misdiagnosed as roundworm obstruction,2cases were missed. 2 cases with acute pancreatitis misdiagnosed as acute appendicitis. 1 case with ascariasis was misdiagnosed as acute appendicitis. 2 cases were missed. 1 case in 3 cases with urinary trac was misdiagnosed as acute appendicitis. 1 misdiagnosed as appendicitis. and 1 cases missed.. Conclusion Ultrasound diagnosis of pediatric acute abdomen in line rate,the clinician should be combined with clinical features of children,medical history and other necessary auxiliary examination to enhance the accuracy of diagnosis,reduce misdiagnosis and missed diagnosis.
出处
《哈尔滨医药》
2015年第6期427-429,共3页
Harbin Medical Journal
关键词
超声
儿科急腹症
误诊
Ultrasound
Pediatric acute abdomen
Misdiagnose
