发育医学电子杂志 Vol. 7 229-230 DOI: 10.3969/j.issn.2095-5340.2019.03.014
结构畸形
病例报告
单孔腹腔镜监视下腹膜外置管引流治疗 儿童右髂窝脓肿1 例
刘雪来 李龙 李索林 刘林 李亮星
1.首都儿科研究所附属儿童医院 2. 河北医科大学第二医院
Single-port laparoscopic assisted peritoneal drainage for abscess of right iliac fossa in children: a case of report
LIU Xue-lai, LI Long, LI Suo-lin, et al
摘要 患儿，男，4 岁，主因“发热1 周、右下腹痛3 d” 于2018 年8 月19 日就诊于本院。入院查体：体温 39.2 ℃，腹平软，脐周无压痛，右下腹压痛明显，局部 反跳痛，无腹肌紧张。扪诊可触及右下腹有一包块，大 小约4 cm×3 cm×3 cm，质地韧，与周围组织界限不 清，患儿熟睡时体表隐约可见包块（图1），结肠充气实 验阳性。双侧腹股沟区对称，未触及肿大淋巴结。未 见患儿行走困难和髋关节伸直障碍。超声提示：右 下腹阑尾区可探及3.2 cm×2.2 cm 大小低回声区，边 缘欠清，形态不规则，持续观察未见明显蠕动，周围肠 间隙可探及小片状液性暗区，最深处约0.5 cm，彩色 多普勒超声可见包块内短带状血流信号。血常规：白 细胞计数29.2×109/L，中性粒细胞百分比75.3%，中性 粒细胞绝对值15.6×109/L。肿瘤标志物检查：甲胎蛋 白（AFP）、甲胎蛋白异质体（AFP-L3）正常，癌胚抗原 （CEA）、糖原抗原125（CA125）、糖原抗原199（CA199）、 烯醇化酶（NSE）和血清铁蛋白（FER）均正常。入院诊 断：阑尾周围脓肿（不除外右髂窝脓肿）。
关键词:
儿童')" href="#">儿童
髂窝脓肿
腹腔镜
腹膜外
引流
收稿日期: 2018-09-20
出版日期: 2019-07-30
发布日期: 2019-07-29
期的出版日期: 2019-07-30
基金资助: 公益性行业科研专项（201402007）；2018 年度儿科学科协同发展中心“儿科专项”（子课题XTZD20180301）
通讯作者:
李龙https://baike.baidu.com/item/%E6%9D%8E%E9%BE%99/5301086?fr=aladdin
E-mail: lilong23@126.com
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