小结
鉴别诊断
常见
- 便秘
- 急性阑尾炎
- 胃肠炎
- 泌尿道感染
- 腹部外伤（钝挫伤或穿通伤）
- 胆结石/胆囊炎
- 原发性痛经
- 肺炎
- 功能性腹痛
- 婴儿腹绞痛
不常见
- 肠套叠
- 梅克尔憩室
- 肠系膜淋巴结炎
- 先天性巨结肠
- 溃疡性结肠炎
- 克罗恩病
- 小肠梗阻
- 肠扭转
- 大肠梗阻
- 坏死性小肠结肠炎
- 消化性溃疡疾病
- 乳糜泻
- 病毒性肝炎
- 胆道运动障碍
- 急性胰腺炎
- 脾梗死/囊肿
- 肾结石
- 脓毒症
- 睾丸扭转
- 卵巢扭转
- 卵巢囊肿破裂
- 盆腔炎性疾病 (pelvic inflammatory disease, PID)
- 妊娠合并症
- 积脓
撰稿人
作者
Charles L. Snyder, MD
Professor of Surgery
University of Missouri
Kansas City Children's Mercy Hospital
Kansas City
MO
利益声明
CLS declares that he has no competing interests.
Jeong Hyun, MD
Assistant Professor of Surgery
Stanford University
Lucile Packard Children's Hospital
Stanford
CA
利益声明
JH has several research grants for translational work with Crohn's disease for Stanford University.
鸣谢
Professor Charles L. Snyder and Dr Jeong Hyun would like to gratefully acknowledge Dr KuoJen Tsao, Dr Kathryn Tinsley Anderson, Dr Luke R. Putnam, Dr Shinil K. Shah, Dr Nathan D. Allison, and Dr Peter A. Walker, previous contributors to this topic.
利益声明
KT, KTA, LRP, SKS, NDA, and PAW declare that they have no competing interests.
同行评议者
Ann O. Scheimann, MD, MBA
Associate Professor of Pediatrics
Johns Hopkins School of Medicine
Baltimore
MD
利益声明
AOS declares that she has no competing interests.
Karla Au. Yeung, MD
Assistant Professor
Pediatric Gastroenterology and Nutrition
The Johns Hopkins Hospital
Baltimore
MD
利益声明
KAY declares that she has no competing interests.
Raymond G. Buick, MB BCh, BAO, FRCS (Edin), FRCS (Eng)
Consultant Paediatric Surgeon
Department of Paediatric Surgery
Birmingham Children's Hospital
Birmingham
UK
利益声明
RGB declares that he has no competing interests.
指南
- 临床对策：急诊科疑似阑尾炎患者评估和管理中的关键问题
- 急性阑尾炎的诊断和治疗：WSES 耶路撒冷指南 2020 年更新版
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