Canarelli J P, Lenaerts C, Quintard J M, Degroote D, Collet L M, Bernard F
Acta Chir Belg. 1983 May-Jun;82(3):227-34.
One thousand four hundred and ninety-one cases of acute appendicitis during infancy and childhood are reviewed, 137 were revealed by peritonitis. Complications following appendicitis with perforation (15%) are higher than acute appendicitis (2%). Many complications are reported, but the most serious of them are the 5th day syndrome after appendectomy. Early diagnosis, often difficult in infancy, and early operation before diffusion are the only means of prevention. Ultrasonography may reveal pelvic or intraperitoneal abscess. Treatment is a large drainage with antibiotics; enteral or parenteral nutrition may be associated.
回顾了1491例婴幼儿及儿童急性阑尾炎病例，其中137例伴有腹膜炎。阑尾炎穿孔后的并发症发生率（15%）高于急性阑尾炎（2%）。报告了许多并发症，但最严重的是阑尾切除术后的第5天综合征。早期诊断在婴儿期往往困难，在扩散前尽早手术是唯一的预防手段。超声检查可能显示盆腔或腹腔脓肿。治疗是大剂量引流并使用抗生素；可联合肠内或肠外营养。
