目的观察新生儿急性阑尾炎10例诊治。方法 10例诊断新生儿急性阑尾炎均行手术切除阑尾。结果术前4例诊断为阑尾炎,准确率为40%。10例均行手术切除阑尾,腹腔引流。病理回报:坏疽性阑尾炎4例,化脓性阑尾炎4例,单纯性阑尾炎2例。术后2例并发切口感染,无一例死亡,均治愈出院。10例术后随访6个月,未见异常。结论新生儿若出现:①拒乳、嗜睡、发热、呕吐、腹胀、停止排气排便。②查体时腹胀严重,右下腹包块固定压痛,右侧腹壁发红。③辅助检查,腹部X线示隔下游离气体B超示右下腹包块。④腹穿可见恶臭脓汁,应高度怀疑急性阑尾炎。早期诊断、及时行阑尾切除术、腹腔引流术、合理运用抗生素、加强营养支持治疗是降低病死率、提高治愈率的关键。 Objective To observe the diagnosis and treatment of 10 cases of neonatal acute appendicitis. Methods Ten cases were diagnosed as neonatal acute appendicitis by surgical resection of the appendix. Results 4 cases were diagnosed as appendicitis before operation, the accuracy was 40%. Ten patients underwent surgical resection of the appendix, abdominal drainage. Pathological findings: gangrenous appendicitis in 4 cases, suppurative appendicitis in 4 cases, simple appendicitis in 2 cases. Two cases of postoperative concurrent incision infection, no one died, were cured and discharged. Ten patients were followed up for 6 months, no abnormalities were found. Conclusion If there is neonatal: ① refuse milk, drowsiness, fever, vomiting, abdominal distension, stop the exhaust defecation. ② physical examination when abdominal distension, right lower abdominal mass fixed tenderness, the right abdominal wall redness. ③ auxiliary examination, abdominal X-ray showed under the free gas B ultrasound showed lower right abdominal mass. ④ Abdominal wear see foul pus juice, should be highly suspected acute appendicitis. Early diagnosis, timely appendectomy, abdominal drainage, rational use of antibiotics, nutritional support and nutrition support is to reduce mortality and improve the cure rate of the key.