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目的:探讨急性未穿孔阑尾炎保守治疗的临床特点。方法:对1996年6月-2004年6月期间共收治的288例急性未穿孔阑尾炎保守治疗患者的临床资料进行回顾分析。结果:急性单纯性阑尾炎196例中治愈109例,急性化脓性阑尾炎92例中治愈25例,两类治愈占病例总数的46．5％;其余154例均转为手术治疗,占病例总数的53．5％。结论: 对急性未穿孔阑尾炎患者应尽量动员早期手术,对保守治疗的患者,在保守治疗的过程中症状加重或症状不缓解者应及时中转手术治疗。
Objective: To investigate the clinical features of conservative treatment of acute non-perforated appendicitis. Methods: The clinical data of 288 patients with acute non-perforated appendicitis treated conservatively from June 1996 to June 2004 were retrospectively analyzed. Results: Among 196 cases of acute simple appendicitis, 109 cases were cured, 25 cases of acute suppurative appendicitis were cured in 92 cases, and 46.5% of the total cases were cured. The remaining 154 cases were converted to surgery, accounting for 53% .5%. Conclusion: Patients with acute non-perforated appendicitis should try their best to mobilize early surgery. For patients with conservative treatment, patients should be treated by timely transit if symptoms worsen or symptoms do not relieve during conservative treatment.