<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>1405-0099</journal-id>
<journal-title><![CDATA[Cirujano general]]></journal-title>
<abbrev-journal-title><![CDATA[Cir. gen]]></abbrev-journal-title>
<issn>1405-0099</issn>
<publisher>
<publisher-name><![CDATA[Asociación Mexicana de Cirugía General A.C.]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S1405-00992019000300177</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Apendicitis en niños de 0 a 3 años en un hospital general de segundo nivel. Análisis de cinco años (2013-2017)]]></article-title>
<article-title xml:lang="en"><![CDATA[Appendicitis in children from 0 to 3 years in a general hospital of the second level. Five-year analysis (2013-2017)]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Padrón Arredondo]]></surname>
<given-names><![CDATA[Guillermo]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Hospital General Playa del Carmen Departamento de Cirugía ]]></institution>
<addr-line><![CDATA[Quintana Roo ]]></addr-line>
<country>México</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>09</month>
<year>2019</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>09</month>
<year>2019</year>
</pub-date>
<volume>41</volume>
<numero>3</numero>
<fpage>177</fpage>
<lpage>183</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_arttext&amp;pid=S1405-00992019000300177&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_abstract&amp;pid=S1405-00992019000300177&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_pdf&amp;pid=S1405-00992019000300177&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen:  Introducción:  La apendicitis aguda en niños menores de tres años no es frecuente.  Material y métodos:  Conocer las características de los pacientes con apendicitis aguda en niños menores de tres años. Se realizó un estudio observacional, descriptivo y transversal en un hospital general de segundo nivel.  Resultados:  Durante cinco años (de enero de 2013 a diciembre de 2017) se realizaron siete apendicetomías en menores de tres años; los signos y síntomas frecuentes fueron: taquicardia en siete, quejumbre en cinco, náuseas en cuatro, fiebre en cuatro, y vómito en tres. Los promedios fueron: edad de dos años, cuadro clínico de cuatro días, leucocitosis de 14,000/&#956;l, neutrófilos 25%, 52 linfocitos/&#956;l y seis días de estancia. Clasificación macroscópica: tres casos de apéndice no perforado, dos casos de apéndice perforado, un caso con peritonitis, y un caso de apéndice sano. Mortalidad: un caso asociado con enfermedad de Hirsprung.  Conclusiones:  Este estudio reveló que la taquicardia es el signo principal en los pacientes menores de tres años con apendicitis aguda. Del mismo modo, los cirujanos generales pueden atender a este grupo de pacientes cuando no haya alternativa viable y la emergencia sea absoluta.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract:  Introduction:  Acute appendicitis in children under three years of age is not frequent.  Material and methods:  To know the characteristics of patients with acute appendicitis in children under three years of age. An observational, descriptive and cross-sectional study was carried out in a second level general hospital.  Results:  During five years (January 2013 to December 2017), seven appendectomies were performed in children under three years of age; the common signs and symptoms were: tachycardia seven, whining five, nausea four, fever four, vomiting three. The averages were: age two years, clinical picture of four days, leukocytosis of 14000/&#956;l, neutrophils 25%, 52 lymphocytes/&#956;l and six days of stay. Macroscopic classification: three not perforated, two perforated and one with peritonitis. Mortality. A case associated with Hirsprung&#8217;s disease.  Conclusions:  In this study we found that tachycardia is a cardinal sign in pediatric patients with acute appendicitis. In the same way, general surgeons can take care of this group of patients when there is no viable alternative and the emergency is inevitable.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[Apendicitis]]></kwd>
<kwd lng="es"><![CDATA[preescolares]]></kwd>
<kwd lng="es"><![CDATA[sintomatología]]></kwd>
<kwd lng="es"><![CDATA[perforación apendicular]]></kwd>
<kwd lng="es"><![CDATA[mortalidad]]></kwd>
<kwd lng="en"><![CDATA[Appendicitis]]></kwd>
<kwd lng="en"><![CDATA[preschoolers]]></kwd>
<kwd lng="en"><![CDATA[symptomatology]]></kwd>
<kwd lng="en"><![CDATA[appendiceal perforation]]></kwd>
<kwd lng="en"><![CDATA[mortality]]></kwd>
</kwd-group>
</article-meta>
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