CAJ | 학술논문

目的：评估维持性血液透析患者合并化脓性阑尾炎进行手术治疗的可行性。方法回顾性分析8例合并化脓性阑尾炎的维持性血液透析患者的手术治疗资料，总结临床经验。结果术后患者炎症相关指标（白细胞、C反应蛋白、降钙素原）明显下降（P<0.05）。所有患者均成功进行手术，无出血、感染等并发症，随访半年无远期并发症。结论经良好的围手术期处理，对MHD合并阑尾炎患者进行手术是安全可行的。
목적：평고유지성혈액투석환자합병화농성란미염진행수술치료적가행성。방법회고성분석8례합병화농성란미염적유지성혈액투석환자적수술치료자료，총결림상경험。결과술후환자염증상관지표（백세포、C반응단백、강개소원）명현하강（P<0.05）。소유환자균성공진행수술，무출혈、감염등병발증，수방반년무원기병발증。결론경량호적위수술기처리，대MHD합병란미염환자진행수술시안전가행적。
Objective To identify the feasibility of suppurative appendicitis operations in maintenance hemodialysis patients. Methods The medical records of 8 maintenance hemodialysis patients who experienced suppurative appen-dicitis operation were retrospectively evaluated. Results After surgery, inflammation related indicators (blood leuko cytes, c-reactive protein, calcitonin original) were significantly decreased (P<0.05). All of the patients' operations were successful,with no complications,such as bleeding and infection,no death. The average hospitalization time was 9.2 days, and half a year follow-up without adhesion sex intestinal obstruction, there is no long-term complications after six months follow-up. Conclusion Given good perioperative management in patients with MHD, appendicitis op-eration is safe and feasible.