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儿童传统阑尾切除术后的机械性小肠梗阻

Mechanical small-bowel obstruction after conventional appendectomy in children.

作者信息

Ahlberg G, Bergdahl S, Rutqvist J, Söderquist C, Frenckner B

机构信息

Department of Pediatric Surgery, St. Göran's Children's Hospital, Stockholm, Sweden.

出版信息

Eur J Pediatr Surg. 1997 Feb;7(1):13-5. doi: 10.1055/s-2008-1071041.

DOI:10.1055/s-2008-1071041
PMID:9085802
Abstract

During the period May 1988 to August 1990, 871 children aged between 0 and 15 years were appendectomized by laparotomy because of suspected appendicitis at the department of pediatric surgery, St. Göran's Children's Hospital. The children were followed 4-6 years after appendectomy. 1.3 % (10/791) developed clinical symptoms consistent with mechanical small bowel obstruction (SBO) resulting in relaparotomy and confirmation of the diagnosis. The patients were divided into subgroups according to the degree of appendicitis. In the group with normal appendix 1.8% (3/170) developed mechanical SBO, simple appendicitis 0% (0/209), gangrenous appendicitis 0.4 % (1/236) and perforated appendicitis 3.4% (6/176). There was no mortality due to postoperative complications. Two patients died due to unrelated causes during the follow-up period.

摘要

1988年5月至1990年8月期间,圣戈兰儿童医院小儿外科因疑似阑尾炎对871名0至15岁儿童进行了开腹阑尾切除术。这些儿童在阑尾切除术后接受了4至6年的随访。1.3%(10/791)出现了与机械性小肠梗阻(SBO)相符的临床症状,导致再次开腹并确诊。根据阑尾炎的程度将患者分为亚组。阑尾正常组中1.8%(3/170)发生了机械性SBO,单纯性阑尾炎组为0%(0/209),坏疽性阑尾炎组为0.4%(1/236),穿孔性阑尾炎组为3.4%(6/176)。没有因术后并发症导致的死亡。两名患者在随访期间因无关原因死亡。

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Mechanical small-bowel obstruction after conventional appendectomy in children.儿童传统阑尾切除术后的机械性小肠梗阻
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Laparoscopic appendectomy for simple and perforated appendicitis in children: the procedure of choice?小儿单纯性及穿孔性阑尾炎的腹腔镜阑尾切除术:是首选术式吗?
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Implications of late complications from adhesions for preoperative informed consent.粘连迟发并发症对术前知情同意的影响。
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Adhesion-related complications are common, but rarely discussed in preoperative consent: a multicenter study.粘连相关并发症很常见,但在术前知情同意中很少被讨论:一项多中心研究。
World J Surg. 2009 Apr;33(4):748-50. doi: 10.1007/s00268-008-9917-x.
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Adhesions are common and costly after open pouch surgery.开放储袋手术后粘连很常见且代价高昂。
J Gastrointest Surg. 2008 Jul;12(7):1239-45. doi: 10.1007/s11605-008-0481-3. Epub 2008 Feb 16.
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World J Gastroenterol. 2006 Feb 28;12(8):1235-42. doi: 10.3748/wjg.v12.i8.1235.
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