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我院自1996年3月至1999年12月采用中西医结合治疗阑尾脓肿43例,疗效满意,报告如下: 1 临床资料 本组43例,男29例,女14例;年龄20岁以内4例,20～50岁33例,50～77岁6例,平均年龄44.9岁;发病至入院时间:最短3天,最长11天。入院时体温37.5℃以下8例,37.5℃～38.5℃以上35例。 诊断依据:①有典型的阑尾炎病史。②右下腹有固定的包块、压痛、反跳痛、肌紧张体征。③B超检查:阑尾周围有明显的液暗区。④排除蛔盲部肿瘤、结核、肠套叠等其它原因引起的肿块。⑤个别病人包块穿刺有脓性分泌物。
Our hospital from March 1996 to December 1999 using the combination of Chinese and Western medicine treatment of appendix abscess in 43 cases, with satisfactory results, the report is as follows: 1 Clinical data The group of 43 patients, 29 males and 14 females; aged 20 years of age in 4 cases , 33 cases of 20 to 50 years old, 6 cases of 50 to 77 years old, average age 44.9 years; onset to admission time: the shortest 3 days, the longest 11 days. Admission at 37.5 ℃ below the body temperature in 8 cases, 37.5 ℃ ~ 38.5 ℃ above 35 cases. Diagnosis is based on: ① a typical history of appendicitis. ② right lower quadrant fixed mass, tenderness, rebound tenderness, muscle tension signs. ③ B-ultrasound: obvious appendix around the dark area. ④ rule roundworm blind tumor, tuberculosis, intussusception and other causes of lumps. ⑤ individual patient mass puncture with purulent secretions.