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阑尾周围脓肿48例手术治疗体会

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目的:总结阑尾炎并阑尾周围脓肿手术治疗体会,寻求正确的治疗途径。方法:收治阑尾炎并阑尾周围脓肿患者48例,其中男30例,女10例;年龄19-65岁,平均病程6-17d。均采用连续硬膜外麻醉;病程一周之内采用麦氏切口,其余采用右腹直肌旁切口。用盐水、甲硝唑注射液局部冲洗后放置引流,无术后抗感染、支持治疗。结果:Ⅰ期愈合38例(95%);1例切口感染,换药后愈合,无残瘘端发生。住院时间12-16d;腹腔残余脓肿1例,术后抗炎21d痊愈出院。结论:手术Ⅰ期治疗阑尾炎并阑尾周围脓肿是安全、可靠的。
objective: to summarize and periappendicural abscess appendicitis surgical treatment experience, looking for the right treatment. Methods: 48 cases treated and periappendicural abscess appendicitis patients, including 30 cases of male, female 10 cases; Age 19-65, the average duration of 6-17 d. Adopt continuous epidural anesthesia; Course of the disease within a week McIntosh incision, and the rest right next to the rectus incision. Local rinse with salt water, metronidazole injection after placement of drainage, no postoperative infection, support treatment.

periappendicural abscessThe surgical treatment

贺喜、贺宇骏

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内蒙古乌兰察布市察右前旗医院 012200

阑尾周围脓肿 手术治疗

2014

中外健康文摘
中国中医药报社

中外健康文摘

影响因子:0.016
ISSN:1672-5085
年,卷(期):2014.(15)
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