非典型急性阑尾炎的诊治
摘要 目的探讨非典型急性阑尾炎的诊断与治疗方法。方法回顾分析96例手术确诊的非典型急性阑尾炎患者的资料：年龄5～72岁，平均27.6岁；男40例，女56例；术前均有不同程度腹部疼痛症状30 min～11 d。结果61例术前诊断为腹痛原因待查，考虑为急性阑尾炎；35例术前考虑为其他急腹症；所有病例术后证实为非典型急性阑尾炎。其中，化脓性阑尾炎59例、坏疽性急性阑尾炎22例、单纯性阑尾炎15例；14例术后出现并发症。结论充分认识非典型急性阑尾炎的临床表现及发病机制，对于早期诊断、及时治疗此病有重要的意义。对于难以确诊又不能除外的急腹症，应尽早剖腹探查。
关键词 非典型 阑尾炎 诊断 治疗
Analysis of the Diagnosis and Treatment of Acute Atypical Appendicitis
Abstract ObjectiveTo investigate the method of diagnosis and treatment of acute atypical appendicitis. MethodsThe clinical data of 96 patients with surgical diagnosis of acute atypical appendicitis in our hospital were analyzed retrospectively. ResultsAmong them, 61 patients with abdominal pain were mainly considered with acute appendicitis and 35 patients other acute abdomen disease. All the patients were proved to be atypical acute appendicitis after surgery. Among them, 59 cases were suppurated appendicitis,22 cases gangrened appendicitis and 15 cases simple appendicitis. After operation, 14 cases were suffered from complications. ConclusionThe relationship between clinical manifestations and pathogenesis in acute atypical appendicitis was fully understanded so as to diagnose and treat early. Early exploratory laparotomy was necessary when these patients were not diagnosed and exclude from acute abdomen disease.
Key words Atypical； Appendicitis； Diagnosis； Treatment
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