Gamal R, Moore T C
Department of Surgery, UCLA School of Medicine.
Am J Surg. 1990 Jun;159(6):589-92. doi: 10.1016/s0002-9610(06)80073-5.
During a recent 4 1/2-year period, an increasing number of young children aged 13 years and younger (230 consecutive patients) came to our institution with signs, symptoms, and findings of acute appendicitis, which was perforated in nearly half of the cases (47%). This was accompanied by a marked increase in the number of very young children aged 6 years and younger (32% of our 230 patients). A prompt response to broad preoperative antibiotic coverage and definitive operative intervention (appendectomy in all cases) was found, with no mortality and essentially no major morbidity (less than 1%). The rapid transition from serious illness to near normalcy in the matter of a few hours with a standardized approach to treatment stimulated this review of appendicitis in this pediatric age group in an effort to define factors influencing these findings.
在最近4年半的时间里，越来越多13岁及以下的幼儿（连续230例患者）因急性阑尾炎的体征、症状和检查结果前来我院就诊，其中近一半病例（47%）发生了穿孔。6岁及以下的极小儿童数量也显著增加（占我们230例患者的32%）。我们发现，对广泛的术前抗生素覆盖和确定性手术干预（所有病例均行阑尾切除术）的迅速反应，无一例死亡，基本无严重并发症（不到1%）。采用标准化治疗方法，在数小时内就能使病情从严重迅速转变为接近正常，这促使我们对这个儿科年龄组的阑尾炎进行了此次回顾，以确定影响这些结果的因素。
