CAJ | 학술논문

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。
목적：탐토소인란미염술후복강농종예방화치료。방법회고성분석2004년지2012년36례란미염술후복강농종림상자료。결과보수치료22례，복강、분강천자12례，재수술2례。전유31례（86％），현효5례（14％）。결론란미염술후복강농종중점재예방，일단발생，경가강항생소、영양지지、중약화물리종합성치료、농종천자충세혹수술인류등，가획만의효과。
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.