Heloury Y, Le Neel J C, Leborgne J, Chatal J F, Malvy P
J Chir (Paris). 1983 Nov;120(11):615-22.
Analysis of 106 case-reports of patients developing complications after appendicectomy provided data on factors predisposing to these sequelae (general condition, initial appendicitis) and their severity (26 deaths equivalent to 24,5 p. cent). Complications were exclusively medical in 22 patients (12 deaths), or surgical in 48 cases (no deaths), and were multiple and/or mixed surgical sequelae in 36 patients (14 deaths). The severity of these medical and surgical complications is emphasized and their appropriate treatment proposed. Statistical analysis of findings in patients with several complications enabled definition of risk factors: peritonitis, septic shock, renal or respiratory insufficiency, age over 50 years, and previous history of disease. Analysis of these risk factors, whether multiple or associated with other complications, can be used for numerical rating of prognosis in these patients.
对106例阑尾切除术后出现并发症的患者病例报告进行分析，得出了导致这些后遗症的因素（一般状况、初始阑尾炎情况）及其严重程度的数据（26例死亡，相当于24.5%）。22例患者的并发症完全是内科性的（12例死亡），48例是外科性的（无死亡），36例患者出现了多种和/或混合性外科后遗症（14例死亡）。强调了这些内科和外科并发症的严重程度，并提出了适当的治疗方法。对有多种并发症患者的研究结果进行统计分析，确定了危险因素：腹膜炎、感染性休克、肾或呼吸功能不全、50岁以上以及既往病史。对这些危险因素的分析，无论其是多种因素还是与其他并发症相关，都可用于对这些患者的预后进行数值评估。
