Law D, Law R, Eiseman B
Am J Surg. 1976 May;131(5):533-5. doi: 10.1016/0002-9610(76)90004-0.
A two year review of 216 patients with a preoperative diagnosis of appendicitis is used to help clarify the continuing points of controversy concerning appendicitis. Morbidity of perforated appendicitis by far exceeds that of nonperforated cases. Twenty-nine per cent of patients had perforation with a postoperative complication rate of 33 per cent. Rate of wound infection after perforation was 15 per cent despite antibiotics and delayed wound closure. Pediatric patients in this study did not experience a higher incidence of perforation or complication. A decision tree for management of acute appendicitis is presented.
对216例术前诊断为阑尾炎的患者进行了为期两年的回顾性研究，以帮助阐明有关阑尾炎的持续争议点。穿孔性阑尾炎的发病率远远超过非穿孔性病例。29%的患者发生穿孔，术后并发症发生率为33%。尽管使用了抗生素并延迟缝合伤口，但穿孔后伤口感染率仍为15%。本研究中的儿科患者穿孔或并发症的发生率并未更高。本文还给出了急性阑尾炎的治疗决策树。
