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小儿阑尾炎

Appendicitis in children.

作者信息

Gilbert S R, Emmens R W, Putnam T C

出版信息

Surg Gynecol Obstet. 1985 Sep;161(3):261-5.

PMID:4035541
Abstract

Six hundred and fifty-one patients with appendicitis were reviewed and an over-all perforation rate of 36.5 per cent accompanied by a major complication rate of only 3.38 per cent and an over-all complication rate of 9.06 per cent was reported. This low complication rate despite a high level of perforation can be attributed to the use of antibiotic regimens effective against both aerobic and anaerobic organisms. A thorough irrigation and flushing of debris and exudate from the abdominal cavity of patients with ruptured appendicitis may improve these rates.

摘要

对651例阑尾炎患者进行了回顾性研究,报告的总体穿孔率为36.5%,主要并发症发生率仅为3.38%,总体并发症发生率为9.06%。尽管穿孔率较高,但并发症发生率较低可归因于使用了对需氧菌和厌氧菌均有效的抗生素方案。对阑尾破裂患者的腹腔进行彻底冲洗以清除碎屑和渗出物可能会改善这些发生率。

相似文献

1
Appendicitis in children.小儿阑尾炎
Surg Gynecol Obstet. 1985 Sep;161(3):261-5.
2
Appendicitis in children.儿童阑尾炎
Surg Gynecol Obstet. 1990 Jun;170(6):527-32.
3
[Antibiotic treatment of perforated appendicitis in childhood--a prospective study].[儿童穿孔性阑尾炎的抗生素治疗——一项前瞻性研究]
Z Kinderchir. 1986 Feb;41(1):14-8. doi: 10.1055/s-2008-1043299.
4
[Drainage of the abdominal cavity and complications in perforating appendicitis in children].[儿童穿孔性阑尾炎的腹腔引流及并发症]
Med Pregl. 2000 Mar-Apr;53(3-4):193-6.
5
[Current aspects of the complications of acute appendicitis in children].[儿童急性阑尾炎并发症的当前研究现状]
Acta Chir Belg. 1983 May-Jun;82(3):227-34.
6
Acute appendicitis. A 5-year review.急性阑尾炎。一项为期5年的回顾。
Am Surg. 1991 May;57(5):301-5.
7
Comparative trial of four antibiotic combinations for perforated appendicitis in children.四种抗生素组合用于儿童穿孔性阑尾炎的对比试验。
Eur J Surg. 1997 Aug;163(8):591-6.
8
Selective versus routine antibiotic use in acute appendicitis.急性阑尾炎中选择性使用抗生素与常规使用抗生素的对比
Am Surg. 1992 May;58(5):280-3.
9
Factors responsible for the high perforation rate seen in early childhood appendicitis.导致幼儿阑尾炎穿孔率高的因素。
Am Surg. 1989 Oct;55(10):602-5.
10
[Acute perforated appendicitis].
Tijdschr Gastroenterol. 1974;17(4):223-32.

引用本文的文献

1
Appendicitis in children less than five years old: A challenge for the general practitioner.五岁以下儿童阑尾炎:全科医生面临的一项挑战。
World J Clin Pediatr. 2015 May 8;4(2):19-24. doi: 10.5409/wjcp.v4.i2.19.
2
Unusual presentation of a perforated appendicitis in a four-year-old girl - a case report from Yazd, Iran.
Electron Physician. 2014 May 10;6(2):788-93. doi: 10.14661/2014.788-793. eCollection 2014 Apr-Jun.
3
A diagnostic score for children with suspected appendicitis.疑似阑尾炎儿童的诊断评分
Langenbecks Arch Surg. 2005 Apr;390(2):164-70. doi: 10.1007/s00423-005-0545-8. Epub 2005 Feb 19.
4
Minimum postoperative antibiotic duration in advanced appendicitis in children: a review.儿童晚期阑尾炎术后抗生素的最短使用时长:一项综述
Pediatr Surg Int. 2004 Dec;20(11-12):838-45. doi: 10.1007/s00383-004-1280-x. Epub 2004 Oct 6.
5
The price of better diagnostic accuracy in suspected appendicitis in Jerusalem.耶路撒冷提高疑似阑尾炎诊断准确性的代价。
Eur J Epidemiol. 1987 Jun;3(2):181-6. doi: 10.1007/BF00239757.
6
Appendicitis in children: a continuing clinical challenge.儿童阑尾炎:一项持续存在的临床挑战。
J Natl Med Assoc. 1992 Oct;84(10):850-2.