小儿外科疾病诊疗指南-腹部外科

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1、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························

2、····························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·········

3、···········································20巨结肠同源性疾病····················································27继发性巨结肠症····················································第63页28直肠、结肠息肉····················································29女婴直肠舟状窝瘘·····································

4、···············31第63页肛周脓肿····················································32肛瘘····················································33肛裂····················································35腹股沟疝····················································36嵌顿性腹股沟疝······················

5、······························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

6、胰腺炎····················································47胰腺囊肿····················································49脾功能亢进····················································51第63页小儿门静脉高压症····················································55腹部损伤··································

7、·················58第63页腹痛腹痛（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】1.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。2.非

8、急腹症的外科病:腹部慢性、亚急性疾病，如消化性溃疡、腹腔结核；慢性不完全肠梗阻，如肿瘤、囊肿等。3.有腹痛的