The features of physical diagnosis for acute appendicitis in children
Lei Xuefeng1,Liu Lianghao2,Liu Dandan3,Bao Qiao4,Zhang Gang1
1Department of Pediatric Surgery,3Department of Ultrasound,Affiliated Hospital of Jining Medical University,Jining 272029,China；2Department of General Surgery,Yanzhou Hospital of Traditional Chinese Medicine,Yanzhou 272100,China;4Department of Surgery,Maternal and Child Health Hospital of Guangdong Province,Guangzhou 511400,China
Abstract：Objective To investigate the features of physical diagnosis for acute appendicitis in the children of different age periods.Methods Four hundred and thirty-one cases with acute appendicitis (postoperative diagnosis) were enrolled in this study,and divided into newborn,infant,preschool,and school age-groups.The clinical physical diagnosis of each group was retrospectively analyzed to summarize the features.Results Three newborns(accounting for about 0.70%) were characterized by abdominal distention,bad spirit,weak bowel sounds,and so on.Thirty-one infants′ (7.19%) physical diagnosis were mainly percussion pain,positive speed humps test,rebound tenderness.The features of preschool group (162 cases,37.59%) were mainly percussion pain,rebound tenderness,bowel sounds changing.The features of school age group (235 cases,54.52%) were principally percussion pain,speed humps test positive,rebound tenderness.Conclusions There are discrepancies between four age-groups in the features of acute appendicitis.Detailed and accurate physical diagnosis can provide important diagnostic evidences of acute appendicitis in children.
雷学锋1柳良好2刘丹丹3鲍俏4张刚1. 小儿急性阑尾炎的检体诊断特征分析[J]. 中华诊断学电子杂志, 2016, 4(2): 120-.
Lei Xuefeng1,Liu Lianghao2,Liu Dandan3,Bao Qiao4,Zhang Gang1. The features of physical diagnosis for acute appendicitis in children. zhzdx, 2016, 4(2): 120-.
