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我院1989年～1997年,共有953例小儿阑尾切除手术,其中5例出现阑尾切除术后第5日综合征,占0.52%,现分析如下。1 临床资料本组5例,男4例,女1例,年龄2岁～7岁,平均5.2岁,腹痛5例,发热5例,呕吐2例,腹泻1例,右下腹压痛5例,轻反跳痛1例。血白细胞计数升高5例。术前均诊断急性阑尾炎,5例术前均静滴抗生素,3例曾静滴氟美松,发病至阑尾切除手术时间9小时～38.5小时,平均27.3小时。术中证实5例均为单纯阑尾炎。手术过程顺利,术后早期恢复好,3日后体温正常,已进流质饮食。
Our hospital from 1989 to 1997, a total of 953 cases of pediatric appendectomy, of which 5 cases appear appendectomy 5 days after the syndrome, accounting for 0.52%, are analyzed as follows. 1 Clinical data The group of 5 patients, 4 males and 1 female, aged 2 years to 7 years, mean 5.2 years, abdominal pain in 5 cases, fever in 5 cases, 2 cases of vomiting, 1 case of diarrhea, 5 cases of right lower quadrant tenderness, light 1 case of rebound tenderness. Increased white blood cell count in 5 cases. Preoperative diagnosis of acute appendicitis, 5 patients were preoperative intravenous antibiotics, 3 patients had intravenous dexamethasone, the incidence of appendectomy operation time 9 hours to 38.5 hours, an average of 27.3 hours. Intraoperative confirmed 5 cases were simple appendicitis. Surgical procedure is smooth, early postoperative recovery is good, normal body temperature after 3 days, has entered the liquid diet.