广州医药2025，Vol.56Issue(7)：893-897,5.DOI:10.20223/j.cnki.1000-8535.2025.07.005
高原地区儿童阑尾炎术后早期炎性肠梗阻治疗分析
Treatment analysis of appendicitis early postoperative inflammatory small bowel obstruction in plateau area children
钟一才 1魏晓明 1陕得智 1卓玛吉 1聂瑞1
作者信息
- 1. 青海省妇女儿童医院小儿外科(青海 西宁 810007)
- 折叠
摘要
Abstract
Objective To review the clinical characteristics of early postoperative inflammatory small bowel obstruction(EPISBO)in children with appendicitis in plateau area and summarize the treatment experience.Methods The data of 49 cases of appendicitis EPISBO in children admitted to Qinghai Women and Children's Hospital from 2019 to 2023 were retrospectively analyzed.Results The onset time of appendicitis was 3-8 days,with an average of(5.38±1.25)days,and the time of intestinal obstruction was 3-11 days after surgery,with an average of(4.81±1.70)days.After conservative treatment,48 cases were relieved of obstruction,resumed exhaust and defecation,and intestinal function recovered in 4-13 day,average(5.93±2.49)d,1 case had progression after conservative treatment,and was cured by surgery.All the 49 children were successfully cured and discharged.The length of hospital stay was 10-26 days,with an average of(15.69±3.79)days.Postoperative follow-up of 1 to 2 years showed normal eating and bowel movements.Conclusions The prevention of EPISBO in children with appendicitis in plateau area is the key.Conservative treatment can also achieve a higher cure rate.If conservative treatment is ineffective or the disease progresses,timely surgical treatment should be provided.关键词
高原地区/儿童/术后早期炎性肠梗阻/治疗Key words
plateau area/children/early postoperative inflammatory small bowel obstruction/treatment引用本文复制引用
钟一才,魏晓明,陕得智,卓玛吉,聂瑞..高原地区儿童阑尾炎术后早期炎性肠梗阻治疗分析[J].广州医药,2025,56(7):893-897,5.
