Current management of appendicitis.
Current management of appendicitis.
复制标题
DOI：
10.1053/j.sempedsurg.2006.10.005
复制
发表时间：
2007-02-01
影响因子：
1.7
通讯作者：
Newman, Kurt D
中科院分区：
文献类型：
--
作者：
Morrow, Stephen E;Newman, Kurt D
阑尾炎是儿童腹部最常见的外科疾病。儿童阑尾炎的临床表现差异很大，导致延误诊断和增加发病率。根据患者的临床状况、医疗中心的能力以及医生的经验和技术专长，临床医生和医疗中心对阑尾炎的诊断和治疗方法也有很大差异。最近的趋势包括越来越多的使用放射成像，微创和非手术治疗，住院时间缩短，以及家庭抗生素治疗。对于患有复杂性阑尾炎的儿童的护理的许多方面，几乎没有达成共识。本文对儿科阑尾疾病的诊断和治疗中最具争议的方面进行了探讨。
Appendicitis is the most common surgical disease of the abdomen in children. Pediatric appendicitis varies considerably in its clinical presentation, contributing to delay in diagnosis and increased morbidity. The methods of diagnosis and treatment of appendicitis also vary significantly among clinicians and medical centers according to the patient's clinical status, the medical center's capabilities, and the physician's experience and technical expertise. Recent trends include the increased use of radiologic imaging, minimally invasive and nonoperative treatments, shorter hospital stays, and home antibiotic therapy. Little consensus exists regarding many aspects of the care of the child with complicated appendicitis. This article examines the most debated aspects of the diagnosis and management of the diseased pediatric appendix.