小儿急性阑尾炎属中医肠痈范畴 ,是肠腑内外发生痈肿之疾 ,是小儿腹部外科最常见的疾病。我科自 1 980～ 1 998年共收治小儿急性阑尾炎 1 58例 ,根据不同类型和病情采取手术或中西医结合保守治疗 ,收到良好效果 ,现报道如下。1　临床资料1 58例中 1～ 5岁 6例 ,6～ 1 0岁 82例 Pediatric acute appendicitis is a category of traditional Chinese medicine intestine and bowel. It is a disease of internal organs and gallbladder swollen inside and outside, and is the most common disease in pediatric abdominal surgery. Our department from 1 980 to 1 988 admitted a total of 158 cases of children with acute appendicitis, according to different types and conditions of surgery or traditional Chinese and western medicine conservative treatment, received good results, are reported below. 1 clinical data 1 58 cases of 1 to 5 years in 6 cases, 6 to 1 0 years in 82 cases