目的探讨急性坏疽性阑尾炎的诊治体会。方法回顾54例阑尾坏疽患者的临床表现及辅助检查、诊断要点、手术中处理阑尾的技巧、并发症的预防。结果患者均治愈出院。无肠瘘及阑尾残端瘘的发生,有2例切口局限炎症,换药愈合。结论细致的问诊、认真的体格检查及辅助检查对于诊断是必要的,及时手术与术中的处理技巧同等重要,能有效减少、避免术后并发症的发生。 Objective To investigate the diagnosis and treatment of acute gangrenous appendicitis. Methods The clinical manifestations and auxiliary examinations of 54 patients with appendiceal gangrene were retrospectively reviewed. The main points of diagnosis, techniques for handling the appendix in operation and prevention of complications were reviewed. Results The patients were cured and discharged. No fistula and appendix stump fistula occurred, there are 2 cases of limited inflammation, dressing change. Conclusions Careful interrogation, careful physical examination and auxiliary examination are necessary for diagnosis. Timely operation and intraoperative treatment are equally important, which can effectively reduce and avoid the occurrence of postoperative complications.