文档介绍：小儿外科疾病诊疗指南—腹部外科
目录
腹痛····················································2
便秘····················································4
先天性肠旋转不良····················································8
消化道重复畸形····················································10
梅克尔憩室····················································12
肠套叠····················································13
肠扭转····················································15
急性阑尾炎····················································17
消化道异物····················································18
先天性巨结肠症····················································20
巨结肠同源性疾病····················································27
继发性巨结肠症····················································
28
直肠、结肠息肉····················································29
女婴直肠舟状窝瘘····················································31
肛周脓肿····················································32
肛瘘····················································33
肛裂····················································35
腹股沟疝····················································36
嵌顿性腹股沟疝····················································38
卵黄管残留畸形····················································39
原发性腹膜炎····················································41
先天性胆总管囊肿····················································43
胆囊炎、胆结石····················································45
急性胰腺炎····················································47
胰腺囊肿····················································49
脾功能亢进····················································51
小儿门静脉高压症····················································55
腹部损伤···················································58
腹痛
腹痛(abdominalgia)是婴幼儿常见的症状,主要靠患儿自述疼痛的部位,但儿童的定位能力差,遇到年龄较小的婴幼儿更无法清楚表述,只能凭患儿一反常态的阵发性哭闹不安、出汗、面色苍白、两下肢屈曲不肯伸直的症状与特殊体位来判断。
【病因】
急腹症:腹内脏器炎症、穿孔、出血或梗阻。①炎症:急性阑尾炎、梅克尔憩室炎、急性胰腺炎等。②腹部外伤:可引起空腔脏器穿孔或实质性器官破裂出血,并继发腹膜炎;除了外伤,肠坏死也可致肠穿孔。③梗阻:肠梗阻、肠套叠、胆绞痛、肾绞痛、卵巢囊肿蒂扭转、睾丸扭转、嵌顿疝等。
非急腹症的