【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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