中国社区医师
中國社區醫師
중국사구의사
Chinese Community Doctors
2014年
33期
71-71,73
,共2页
急性坏疽穿孔性阑尾炎%阑尾切除加腹腔冲洗及腹腔引流术%体会
急性壞疽穿孔性闌尾炎%闌尾切除加腹腔遲洗及腹腔引流術%體會
급성배저천공성란미염%란미절제가복강충세급복강인류술%체회
Acute gangrenous perforated appendicitis%Appendectomy plus peritoneal lavage and peritoneal drainage%Experience
目的：总结手术治疗急性坏疽穿孔性阑尾炎的临床经验，进一步提高临床疗效。方法：2001年6月-2006年4月收治急性坏疽穿孔性阑尾炎患者20例，所有患者均采用阑尾切除加腹腔冲洗及腹腔引流术进行治疗。结果：本组20例患者手术时间(98.3±4.1)min、术中出血量(63.2±6.7)mL、术后下床活动时间(26.1±3.1)h、肛门排气时间(48.3±2.8)h、住院时间(12.1±2.4)d，本组治愈19例，发生切开感染1例，经对症处理后均痊愈出院。结论：阑尾切除加腹腔冲洗及腹腔引流术治疗急性坏疽穿孔性阑尾炎疗效显著，值得推广。
目的：總結手術治療急性壞疽穿孔性闌尾炎的臨床經驗，進一步提高臨床療效。方法：2001年6月-2006年4月收治急性壞疽穿孔性闌尾炎患者20例，所有患者均採用闌尾切除加腹腔遲洗及腹腔引流術進行治療。結果：本組20例患者手術時間(98.3±4.1)min、術中齣血量(63.2±6.7)mL、術後下床活動時間(26.1±3.1)h、肛門排氣時間(48.3±2.8)h、住院時間(12.1±2.4)d，本組治愈19例，髮生切開感染1例，經對癥處理後均痊愈齣院。結論：闌尾切除加腹腔遲洗及腹腔引流術治療急性壞疽穿孔性闌尾炎療效顯著，值得推廣。
목적：총결수술치료급성배저천공성란미염적림상경험，진일보제고림상료효。방법：2001년6월-2006년4월수치급성배저천공성란미염환자20례，소유환자균채용란미절제가복강충세급복강인류술진행치료。결과：본조20례환자수술시간(98.3±4.1)min、술중출혈량(63.2±6.7)mL、술후하상활동시간(26.1±3.1)h、항문배기시간(48.3±2.8)h、주원시간(12.1±2.4)d，본조치유19례，발생절개감염1례，경대증처리후균전유출원。결론：란미절제가복강충세급복강인류술치료급성배저천공성란미염료효현저，치득추엄。
Objective:To summarize the clinical experience in the treatment of acute gangrenous perforated appendicitis operation, in order to further improve clinical efficacy.Methods:20 patients with acute gangrenous perforated appendicitis were selected from June 2001 to April 2006.All patients underwent appendectomy and peritoneal lavage and abdominal drainage treatment.Results:The operation time of 20 patients was(98.3±4.1)min;amount of bleeding during operation was(63.2±6.7)mL;the activity time out of bed after operation was(26.1±3.1)h;the anal exhaust time was(48.3±2.8)h;the time of hospitalization was(12.1±2.4)d.After treatment,19 cases were cured,however,1 cases occurred incision infection,but this patient was cured after symptomatic treatment. Conclusion:The effect of appendectomy and peritoneal lavage and abdominal cavity drainage in the treatment of acute gangrenous perforated appendicitis is significant,so it is worthy of promotion.
