非典型阑尾炎96例诊治分析  

Diagnosis and treatment analysis of atypical appendicitis

作　　者：覃树芳 

机构地区：[1]广东省东莞市石碣人民医院,523290

出　　处：《中国现代医药杂志》2007年第7期75-76,共2页Modern Medicine Journal of China

摘　　要：目的探讨非典型阑尾炎的诊断与治疗方法。方法回顾分析96例在我院行手术确诊的非典型急性阑尾炎患者的临床资料。结果61例术前诊断为腹痛原因待查,考虑为急性阑尾炎,35例术前考虑为其他急腹症;所有病例术后病理证实为非典型急性阑尾炎。其中,化脓性阑尾炎59例、坏疽性急性阑尾炎22例、单纯性阑尾炎15例;14例术后出现了并发症。结论充分认识非典型急性阑尾炎的临床表现特点及发病机理,对于早期诊断、及时治疗有重要的意义。对于术前无法确诊的急腹症,应尽早剖腹探查。Objective To explore the way to diagnose and treat the atypical appendicitis. Methods Review and analyzed clinical data of 96 patients with atypical appendicitis who were confirmed by operation in our hospital. Results 61 cases were suspected with acute appendicitis and 35 cases were considered with other surgical abdomen. All patients were confirmed by pathological examination. Among them, 59 cases were suppurative appendicitis, 22 cases were gangrenous acute appendicitis and 15 cases were simple appendicitis. 14 cases suffered from complication. Conclusion Recognizing the clinical manifestation and etiopathogenesis is important for the early diagnosis and treatment of atypical appendicitis. Exp.lap. should be performed as soon as possible when surgical abdomen could not be excludes.

关 键 词：非典型 阑尾炎 诊断 治疗 

分 类 号：R656.8[医药卫生—外科学]