| 摘要: |
| ［摘要］ 目的 探讨阑尾周围脓肿急诊手术的治疗效果。方法 回顾性分析65例阑尾周围脓肿急诊切除阑尾及腹腔引流治疗的临床资料。结果 62例行阑尾一次性切除，腹腔冲洗加腹腔引流，其中3例因阑尾自溶无法找到阑尾而行坏死组织清除加脓肿引流，术后经联合抗感染及全身支持治疗，切口一期愈合61例，二期愈合4例，均全部治愈出院。无残端瘘、肠梗阻、腹腔脓肿等并发症发生。住院7～24 d。结论 阑尾周围脓肿急诊行阑尾切除和腹腔引流是一种积极可靠而又安全的治疗方法，早期清除病灶，保持引流通畅，合理应用抗生素，可使阑尾周围脓肿病人得到一次性治愈。 |
| 关键词: 急诊手术 阑尾周围脓肿 腹腔引流 |
| DOI：10.3969/j.issn.1674-3806.2011.09.20 |
| 分类号:R 656.5 |
| 基金项目: |
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| Clinical analysis about emergency surgery for 65 patients with appendiceal abscesses |
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XIAO Yuan-chao
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Department of Second Surgery, Tiane County People′s Hospital,Guangxi 547300,China
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| Abstract: |
| ［Abstract］ Objective To analyse the therapeutic effect of emergency surgery for appendiceal abscess. Methods The clinical data of 65 patients received appendix removed emergency and celiac drainage because of appendiceal abscess were retrospectively analyzed. Results Sixty-two patients underwent regular one-time removal of the appendix, celiac flush and celiac drainage. The appendixes among three of them can′ t not be found because of appendix autolysis and necrotic tissue had to be removed and celiac drainage, after the joint use of anti-infection treatment and general supportive therapy, except 4 patients′ incision healed secondarily, others healed primarily, all recovered after they were in hospital for 7～24 days, no complications such as residual end fistula, obstruction and abdominal abscess happend. Conclusion Appendix removed emergency and celiac drainage because of appendiceal abscess are the positive, reliable and safe treatments. Remove the focus early, keep drainage unblocked, use antibiotics reasonably, the patients who suffer from appendiceal abscess can be healed one-time. |
| Key words: Emergency surgery Appendiceal abscess Celia drainage |
