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作者研究小儿阑尾源性腹膜炎和细胞免疫的关系,以及胸腺治疗对细胞免疫的影响。观察25例,年龄3～15岁,其中局限型腹膜炎10例,弥漫型15例。发病12小时以后入院17例(68％)。全麻下紧急手术切除阑尾,进行腹腔整顿和引流。绝大多数患儿手术后接受延期硬膜外麻醉2～4天。全部病例都施行综合性治疗——矫正代谢紊乱、充分的胃肠外营养、旨在加快恢复消化道运动排出功能的措施、解毒和抗菌疗法。此外辅以胸腺素治疗。术后第1天开始肌肉注射胸腺素,剂量每公斤体重0.1mg,每天1次,
The authors investigated the relationship between appendicitis and cellular immunity in children and the effects of thymus therapy on cellular immunity. 25 cases were observed, aged 3 to 15 years, of which 10 were localized peritonitis and 15 were diffuse. Seventeen patients (68%) were admitted after 12 hours of onset. Emergency surgery under general anesthesia to remove the appendix for abdominal consolidation and drainage. The vast majority of children with postoperative delayed epidural anesthesia 2 to 4 days. All cases are implemented comprehensive treatment - correction of metabolic disorders, adequate parenteral nutrition, measures designed to speed up the recovery of digestive tract function, detoxification and antimicrobial therapy. In addition, supplemented with thymosin treatment. After the first day of muscle injection of thymosin, the dose of 0.1mg per kilogram of body weight once a day,