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阑尾血吸虫病并发急性阑尾炎临床较少见,由于其病理的特殊性,起病急、易穿孔和导致腹膜炎。现就我院自1983年～1996年收治的54例资料分析如下。 临床资料:本组54例,占同期手术送检阑尾标本(1327例)的4.07％,其中男40例,女14例。年龄22～73岁,平均49.4岁。病人均有右下腹痛,有转移性右下腹痛25例,有反跳痛51例,体温正常9例,37℃～38.5℃34例,38.5℃以上11例;检验:白细胞计数0.4～0.9×10~9/L者39例,1.0～1.4×10~9/L者15例。病人均于入院后行急诊阑尾切除术,计穿孔性阑尾炎27例,占31.5％,化脓坏疽性阑尾炎31例占57.4％,单纯性阑尾炎6例,占11.1％。术后切口感染者6例(11.1％),无其他并发症,所有病人均痊愈出院。
Appendectomy schistosomiasis complicated with acute appendicitis is rare, due to the particularity of its pathology, acute onset, perforation and peritonitis. Now on our hospital from 1983 to 1996 admitted 54 cases of data as follows. Clinical data: The group of 54 cases, accounting for the same period surgical examination of appendix specimens (1327 cases) 4.07%, of which 40 were males and 14 females. Aged 22 to 73 years old, with an average of 49.4 years old. The patients had right lower quadrant pain, 25 cases of metastatic right lower abdominal pain, 51 cases of rebound tenderness, 9 cases of normal temperature, 34 cases of 37 ° C ~ 38.5 ° C, and 11 cases of 38.5 ° C. The test showed that the white blood cell count was 0.4 ~ 0.9 × 39 cases of 10 ~ 9 / L, 1.0 ~ 1.4 × 10 ~ 9 / L in 15 cases. Patients were admitted to the hospital after the emergency appendectomy, perforation appendicitis accounted for 27 cases, accounting for 31.5%, 31 cases of suppurative gangrenous appendicitis accounted for 57.4%, simple appendicitis in 6 cases, accounting for 11.1%. Postoperative wound infection in 6 patients (11.1%), no other complications, all patients were discharged.