Rosser S B, Nazem A
J Natl Med Assoc. 1988 Apr;80(4):401-3.
A retrospective analysis of 35 patients aged 2 to 20 years who were seen at the District of Columbia General Hospital and Howard University Hospital over a three-year period (1984 to 1986) was performed. All patients were operated on with a preoperative diagnosis of acute appendicitis. A normal appendix was found in 17 percent of patients, of which the majority was adolescent girls. Of those patients with acute appendicitis, 41 percent had perforated appendices, and one half of these were judged to be complicated.At diagnosis or at reoperation, one half of the patients were maintained on single-antibiotic therapy, the other half were maintained on triple-antibiotic therapy. The average hospital stay was 26.6 days, with no significant difference between those patients on single- or triple-antibiotic coverage. The average hospital stay for patients with uncomplicated appendicitis was six days.
对1984年至1986年三年间在哥伦比亚特区综合医院和霍华德大学医院就诊的35例2至20岁患者进行了回顾性分析。所有患者术前诊断为急性阑尾炎并接受了手术。17%的患者阑尾正常，其中大多数是青春期女孩。在那些患有急性阑尾炎的患者中，41%的阑尾已经穿孔，其中一半被判定为复杂病例。在诊断时或再次手术时，一半患者接受单抗生素治疗，另一半患者接受三联抗生素治疗。平均住院时间为26.6天，接受单抗生素或三联抗生素治疗的患者之间没有显著差异。单纯性阑尾炎患者的平均住院时间为6天。
