Bax N M, Pearse R G, Dommering N, Molenaar J C
J Pediatr Surg. 1980 Apr;15(2):200-2. doi: 10.1016/s0022-3468(80)80020-0.
Perforation of the appendix in the neonatal period may be a complication of neonatal necrotizing enterocolitis and should be differentiated from perforating appendicitis in later life. A patient is presented together with a review of the literature to illustrate this concept. Perforation of the appendix occurred in a 12-day-old preterm baby. Th cause of this perforation is assumed to be localized full thickness necrosis of the appendiceal wall, a form of neonatal necrotizing enterocolitis. The similarity between the clinical histories of neonates with so called "appendicitis" and those with necrotizing enterocolitis is pointed out. It is argued that "idiopathic primary peritonitis" probably does not exist, but that the peritonitis may be secondary to similar small perforations of the bowel. The importance of a thorough search for such a perforation is stressed.
新生儿期阑尾穿孔可能是新生儿坏死性小肠结肠炎的一种并发症，应与 later life 期的穿孔性阑尾炎相鉴别。现报告1例患儿并复习文献以阐明这一概念。一名12日龄的早产儿发生了阑尾穿孔。推测此次穿孔的原因是阑尾壁局限性全层坏死，这是新生儿坏死性小肠结肠炎的一种形式。文中指出了所谓“阑尾炎”新生儿与坏死性小肠结肠炎新生儿临床病史的相似性。有人认为“特发性原发性腹膜炎”可能并不存在，腹膜炎可能继发于肠道类似的小穿孔。强调了彻底寻找此类穿孔的重要性。 （注：原文中“later life”表述较奇怪，可能有误，这里按字面翻译。）
