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目的:探讨小儿阑尾脓肿的治疗。方法:总结分析128例小儿阑尾脓肿的临床资料,比较非手术与手术疗法的治疗结果。结果:非手术治疗51例,手术治疗77例。非手术组和手术组平均体温下降时间分别为4.76天和8.42天,平均住院时间分别为9.86天和14.2天,两组比较有显著性差异(P<0.01)。手术组无术后并发症者平均住院时间为10.8天,与非手术组比较无显著性差异(P>0.05)。两组均治愈,无死亡。结论:小儿阑尾脓肿的治疗应根据病情选择治疗手段,两种治疗方法各有其特点和适应征;对婴幼儿阑尾脓肿以早期手术为宜;合理应用抗生素也是影响本病预后的重要因素。
Objective: To investigate the treatment of pediatric appendix abscess. Methods: The clinical data of 128 cases of appendiceal abscess in children were summarized and analyzed. The results of non-surgical and surgical treatment were compared. Results: Non-surgical treatment of 51 cases, 77 cases of surgical treatment. The mean temperature drop time of non-operation group and operation group were 4.76 days and 8.42 days, respectively. The average length of hospital stay was 9.86 days and 14.2 days respectively. There was significant difference between the two groups (P <0.01). The average length of stay of hospital without operation complications in operation group was 10.8 days, no significant difference compared with non-operation group (P> 0.05). Two groups were cured, no death. Conclusion: The treatment of appendiceal abscess in children should be treated according to the condition, and the two methods have their own characteristics and indications. It is advisable to use early surgery for infantile appendix abscess. Rational use of antibiotics is also an important factor affecting the prognosis of this disease.