小儿阑尾炎术后腹腔脓肿36例分析  

Post-appendicectomy intra-abdominal abscess in children：an analysis of 36 cases

作　　者：朱天琦[1] 杨继鑫[1] 李宁[1] 易斌[1] 

机构地区：[1]华中科技大学同济医学院附属同济医院小儿外科,武汉430030

出　　处：《临床外科杂志》2014年第10期774-776,共3页Journal of Clinical Surgery

摘　　要：目的：探讨小儿阑尾炎术后腹腔脓肿预防和治疗。方法回顾性分析2004年至2012年36例阑尾炎术后腹腔脓肿临床资料。结果保守治疗22例，腹腔、盆腔穿刺12例，再手术2例。痊愈31例（86％），显效5例（14％）。结论阑尾炎术后腹腔脓肿重点在预防，一旦发生，经加强抗生素、营养支持、中药和物理综合性治疗、脓肿穿刺冲洗或手术引流等，可获满意效果。Objective To explore the prevention and treatment of postappendicectomy intraabdominal abscess. Methods The clinical data of 36 cases with postappendicectomy intraabdominalabscess between 2004 and 2012 were reviewed,retrospectively. Results In all of the patients,22 casesreceived conservative treatment,12 cases received abdominal or pelvic centesis and 2 cases received reoperation.In general,31 cases（86%）were cured and 12 cases（14%）were improved. Conclusion Thefocus of postappendicectomy intraabdominal abscess is prevention.Once it occurs,treatment including antibiotic strengthening,nutrition supporting,Chinese medicine and physical synthetic treatment,abscess cavity centesis or percutaneous peritoneal drainage surgery could be chosen to obtain a satisfactory outcome.

关 键 词：阑尾炎术后脓肿 穿刺 经皮引流 

分 类 号：R656.8[医药卫生—外科学]