Shipsey M R, O'Donnell B
Ann R Coll Surg Engl. 1985 Jan;67(1):23-4.
Of 834 children who had appendicectomy for appendicitis 77 (9.2%) had developed an appendix mass when first seen. Under 6 years of age 25% of appendicitis patients had an appendix mass at presentation and almost 60% of the masses seen were in patients under six years of age. Forty three of the 77 masses (55%) were palpable only under anaesthesia. The masses were all initially managed conservatively by bed rest, intravenous fluids and intravenous antibiotics. All but eight (10%) of the 77 patients responded to this form of treatment. Interval appendicectomy was planned for a date 4 weeks following discharge. The overall total average bed stay including interval appendicectomy was 16 days. There were no late complications or relaparotomies.
在834例因阑尾炎接受阑尾切除术的儿童中，77例（9.2%）初诊时已形成阑尾包块。6岁以下的阑尾炎患者中有25%在就诊时出现阑尾包块，且所见包块中近60%出现在6岁以下的患者中。77个包块中有43个（55%）仅在麻醉下可触及。所有包块最初均采用卧床休息、静脉补液和静脉使用抗生素的保守治疗。77例患者中除8例（10%）外，均对这种治疗方式有反应。计划在出院后4周进行间隔期阑尾切除术。包括间隔期阑尾切除术在内的总平均住院天数为16天。无晚期并发症或再次剖腹手术。
