CAJ | 학술논문

目的探讨以肠梗阻为表现的急性阑尾炎合并穿孔的临床特征，以提高临床诊断率及疗效。方法回顾性分析2010年5月至2013年5月以肠梗阻入院后经手术证实为急性阑尾炎合并穿孔的51例患者临床资料。结果本组36例梗阻症状较轻患者入院后经禁食、持续胃肠减压等治疗后效果不明显者，行手术治疗，余15例肠梗阻症状严重者入院后即行剖腹探查术；所有患者最终均行阑尾切除术，均治愈出院。结论以肠梗阻为首发症状的急性阑尾炎合并穿孔因其临床表现不典型易误诊，详细询问病史及全面的体格检查有助于减少本病的误诊，B 超检查对本病有较高的诊断价值；而手术是诊断和治疗本病的最好方法；正确的诊断、及时有效的治疗对提高治愈率，改善患者的预后具有重要的临床意义。
목적탐토이장경조위표현적급성란미염합병천공적림상특정，이제고림상진단솔급료효。방법회고성분석2010년5월지2013년5월이장경조입원후경수술증실위급성란미염합병천공적51례환자림상자료。결과본조36례경조증상교경환자입원후경금식、지속위장감압등치료후효과불명현자，행수술치료，여15례장경조증상엄중자입원후즉행부복탐사술；소유환자최종균행란미절제술，균치유출원。결론이장경조위수발증상적급성란미염합병천공인기림상표현불전형역오진，상세순문병사급전면적체격검사유조우감소본병적오진，B 초검사대본병유교고적진단개치；이수술시진단화치료본병적최호방법；정학적진단、급시유효적치료대제고치유솔，개선환자적예후구유중요적림상의의。
Objective Discuss with intestinal obstruction for the performance of the clinical features of acute appendicitis merge perforation, in order to improve clinical diagnostic and curative effect. Methods Were retrospectively analyzed in May 2011 to May 2012 51 in intestinal obstruction after admission confirmed by surgery for acute appendicitis merge perforation clinical data of . Result This group of 36 patients with obstruction symptoms lighter after admission by fasting、The effect is not obvious after the treatment such as continuous gastrointestinal decompression surgical treatment, 15 cases of severe symptoms of intestinal obstruction after admission laparotomy was all right namely; All patients with the final line of appendectomy, were cured out of the hospital. Conclusion In order to intestinal obstruction complicated with acute appendicitis perforation due to the first symptom of atypical clinical manifestations misdiagnosis, asked in detail about the history and thorough physical examination is helpful to reduce the misdiagnosis of this disease, B ultrasound examination is of great value in the diagnosis of the disease; The operation is the best method to diagnose and treat the disease; Correct diagnosis, timely effective treatment to improve the cure rate and improve the prognosis of patients has important clinical significance.