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目的探讨腹部手术后并发急性阑尾炎临床特点。方法回顾性分析1995年1月～2004年6月间11例术后急性阑尾炎患者的病例资料。结果术前确诊的急性阑尾炎有9例,剖腹探查确诊的为2例,均于原发病术后7～15天行阑尾切除术,术后均恢复良好,痊愈出院。结论对术后出现腹痛、发热等相关阑尾炎表现的患者要有足够的重视,积极排除伴发急性阑尾炎的可能,B超对诊断有一定的辅助作用,积极手术治疗是其安全有效的治疗方法。
Objective To investigate the clinical features of acute appendicitis after abdominal surgery. Methods The clinical data of 11 patients with acute appendicitis from January 1995 to June 2004 were retrospectively analyzed. Results There were 9 cases of acute appendicitis diagnosed before operation and 2 cases diagnosed by laparotomy. All cases were performed appendectomy 7 to 15 days after operation. All patients recovered well and were discharged. Conclusions Postoperative patients with appendicitis, such as abdominal pain and fever, should be given sufficient attention to exclude the possibility of acute appendicitis. B-ultrasound may be helpful in the diagnosis. Active surgical treatment is a safe and effective treatment.