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目的探讨儿童阑尾炎手术后腹腔感染的诊断及治疗。方法本组对46例腹腔感染患儿及早准确做出诊断并及时采取引流,同时使用抗生素治疗,防止病情进一步加重。结果 46例阑尾炎术后并确诊为腹腔感染的患儿经及时准确诊断,早期发现,早期治疗,全部治愈出院,全组无死亡病例。平均住院时间为17d,随访1~3年,无肠瘘,肠梗阻等手术并发症。结论儿童阑尾炎手术后腹腔感染较其原发病严重,故应重视预防。
Objective To investigate the diagnosis and treatment of abdominal infection after operation in children with appendicitis. Methods The group of 46 cases of children with early diagnosis of abdominal infection to make timely and accurate diagnosis and timely drainage, while the use of antibiotics to prevent further aggravating the disease. Results 46 cases of appendicitis and diagnosed as abdominal infection after diagnosis of timely and accurate, early detection, early treatment, all cured and discharged, no deaths in the whole group. The average length of stay was 17 days. Patients were followed up for 1 to 3 years without complications of intestinal fistula and intestinal obstruction. Conclusion Children with appendicitis after surgery abdominal infection is more serious than its primary disease, it should pay attention to prevention.