Abstract
目的 急性盲肠升结肠炎是儿童血液病的严重并发症,本文讨论其诊断和处理.方法 总结我院的临床病例资料,并行文献复习.结果 过去5年间诊断血液病并发急性盲肠炎的病例共7例,主要症状是在血液粒细胞严重减低的基础上,出现右下腹痛伴高热和腹泻,CT、B超可提示盲升结肠壁增厚,保守治疗可获明显疗效.结论 血液病治疗中出现急性腹痛的患儿,除了考虑阑尾炎外应注意盲升结肠炎的可能.高热、腹泻和CT检查中出现结肠和盲肠壁增厚或壁内积气常是盲肠炎的依据.治疗上以保守治疗为主。
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