摘要
目的 探讨小儿阑尾脓肿的治疗。方法 1 0 6例阑尾脓肿患儿,4 8例保守治疗,5 8例手术治疗,其中2 5例行阑尾切除+腹腔冲洗,2 6例单纯腹腔引流,7例经直肠引流。结果 保守治疗组39例痊愈,9例无效或恶化中转手术,手术组均痊愈出院,保守治疗成功者平均热退时间4 . 8天,平均住院时间1 2 . 4天,手术组平均热退时间7 .4天,平均住院1 4. 6天。结论 两种治疗方法各有其适应症;婴儿阑尾脓肿、含粪石的阑尾脓肿及女性阑尾脓肿宜一期手术治疗。
Objective To explore the management of appendiceal mass in children. Methods One hundred and six patients were treated for appendiceal mass. Fourty-eight cases were treated conservatively. Operation was performed on fifty-eight patients, in which twenty-five cases were underwent appendectomy and abdominal irrigation, twenty-six cases were treated by abdominal drainage, seven cases were drainage through rectum. Results Thirty-nine patients were cured in conservative group while nine cases were treated by surgery after failure of conservative treatment. All patients in surgery group were cured. The mean fever time and mean hospitalization time in the two groups were 4.8 days versus 7.4 days and 12.4 days versus 14.6 days respectively. Conclusion Both conservative and surgical management have their indication. The appendiceal abcess in infant or femal and those with fecaliths need primary surgery.
出处
《现代医院》
2005年第5期28-29,共2页
Modern Hospitals
