【摘要】:[目]探讨小儿胆囊炎胆石症临床特点、诊断与治疗方法[方法]回顾性总结14年间收治小儿胆囊炎胆石症21例临床资料,对其临床特点、诊疗方法以及随访资料进行分析[结论]门诊首诊为胆囊炎12例误诊率为42.86%其中7例施行手术治疗病理检查提示急性胆囊炎5例慢性胆囊炎2例;胆固醇结石5例混合性结石2例2例拒绝手术者经保守治疗症状好转后出院12例无胆石症急性单纯性胆囊炎患儿给予短期禁食、纠正水电解质失衡、抗感染、解痉、利胆等治疗住院10~21d治愈出院[结论]小儿胆囊炎胆石症发病率低,缺乏典型症状,临床易误诊,诊断明确后应及时治疗
【关键词】小儿胆囊炎;胆石症;临床特点;诊断与治疗
Abstract:[Objective]Todiscusstheclinicalfeatures,diagnosisandtreatmentofchildrencholecystitischolelithiasis.[Method]Tracebackandsumup21casesin14years,makeanalysisontheirclinicalfeatures,diagnosisandtreatmentandfollowupdata.[Result]12casesoffirstdiagnosisofcholecystitis,themisdiagnosisrate42.86%;amongwhich,7wereoperated,whosepathologicalexamshowed5casesofacutecholecystitisand2chronicone;5cholesterolgallstone,2mixedgallstone;2refusedoperationandwerebetterafterpreservedtreatmentthenlefthospital,12casesofacutepurecholecystitis,withoutcholelithiasis,werefastingforshorttime,correctingunbalancedelectrolyte,antiinfection,removingspasm,relievinggallbladder,andlefthospitalafterbeing10~21dinhospitalandcured.[Conclusion]There’slowoccurrencerateofchildrencholecystitischolelithiasis,lackingtypicalsymptoms,easilycausingmisdiagnosis;intimetreatmentshallbemadeaftercorrectdiagnosis.
Keywords:childrencholecystitis;cholelithiasis;diagnosisandtreatment
随着影像诊断学
1临床资料
本组21例患儿中中男13例
2诊断情况
根据腹痛、或伴发热 文献[2]报道高达70%
3治疗及转归
本组7例施行手术治疗
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