婴儿急性阑尾炎的临床分析  

Clinical analysis of infant acute appendicitis

作　　者：雷斌[1] 戚雯琰[2] 徐维[1] 

机构地区：[1]江西省儿童医院普外科,江西省南昌市330006 [2]江西护理职业技术学院护理系,江西省南昌市330201

出　　处：《临床小儿外科杂志》2015年第5期420-421,434,共3页Journal of Clinical Pediatric Surgery

摘　　要：目的：探讨婴儿急性阑尾炎的临床特点和诊疗方法。方法2008年8月至2014年1月作者收治婴儿急性阑尾炎36例，其中4例采取保守治疗，32例采取手术治疗。结果36例中，35例获治愈（97．22％），1例因多器官功能衰竭死亡（2．78％）。32例手术患儿术后并发切口感染6例（18．75％），腹腔残余感染6例（18．75％），粘连性肠梗阻3例（9．38％）。结论婴儿急性阑尾炎诊断困难，并发症的发生率高，需根据病情和病史结合辅助检查，选择合理的治疗与手术方案。Objetive To investigate the clinical characteristics,diagnose and treatment of acute appen-dicitis in infants.Methods A total of 36 cases with infant acute appendicitis,from 2008.8 ~2014.1 ,were retrospectively analyzed 4 cases were received conservative treatment,and 32 underwent surgery treatment. Results 35 patients were cured （97.22%）and 1 died of multiple visceral organ failure （2.78%）.After sur-gical treatment of 32 cases,6 cases got incision infection （18.75%）,6 cases had abdominal residual infection （18.75%）,3 cases suffered adhesive intestinal （9.38%）. Conclusions Infant acute appendicitis has the characteristics of difficult diagnosis and high complication,therefore,reasonable treatment and operation should be selected according to the condition,history and supplementary examinations.

关 键 词：阑尾炎 急性 临床分析 婴儿 

分 类 号：R656.8[医药卫生—外科学]