急性复杂性阑尾炎发病高危因素

成良栋，李春桥，李世宽*

（青岛大学，山东 青岛，266003）

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摘要：

目的 通过对312 例急性发作、已经病理确诊分型的阑尾炎患者的术前临床表现、术前化验进行回顾性分析，识别复杂 性阑尾炎发病高危因素，及时鉴别单纯性或复杂性阑尾炎，正确选择合理的治疗方式。方法 选取2011 年5 月至2016 年8 月在我院住院并行阑尾切除手术患者312 例，根据术后病理，分为急性单纯性阑尾炎组和急性复杂性阑尾炎组，比较两组患 者年龄、BMI、术前发病时间、术前呕吐、术前体温≥38 益的发热、术前应用抗生素发生率、白蛋白、白细胞（WBC）、中性粒细 胞百分比、C-反应蛋白（CRP）等指标。结果 两组患者的BMI、术前抗生素使用率比较，无显著差异（P>0.05）；两组患者的性别 分布、发病至入院时间、体温、WBC、中性粒细胞百分比、CRP、白蛋白、术前呕吐发生率、术前体温逸38 益的发生率比较，差异显著（P<0.05）。结论 根据术前相关化验指标及呕吐、发热等症状，识别急性复杂性阑尾炎发病高危因素，及时鉴别阑尾 炎类型，选取正确、合理的治疗方式。

关键词：复杂性阑尾炎；单纯性阑尾炎；发病高危因素

中图分类号：R656.8 文献标志码：A文章编号：2096-1413(2018)06-0106-02

Risk factors of acute complicated appendicitis


CHENG Liang-dong, LI Chun-qiao, LI Shi-kuan *
(Qingdao University, Qingdao 266003, China)

ABSTRACT: Objective To identify the high risk factors of complicated appendicitis, distinguish simple or complex appendicitis in time and select the proper treatment by retrospectively analyzing the preoperative clinical manifestations, preoperative tests of 312 cases of appendicitis patients. Methods From May 2011 to August 2016, 312 patients hospitalized treatment for acute appendicitis with appendectomy in our department were enrolled. And they were divided into acute simple appendicitis group and acute complex appendicitis group according to the postoperative pathology. The age, BMI, preoperative onset time, preoperative vomiting, preoperative fever ≥38 °, preoperative application of antibiotics, albumin, white blood cell (WBC), neutrophil percentage, C-reaction protein (CRP) were compared in the two groups. Results There were no significant differences in the BMI and preoperative application of antibiotics between the two groups (P>0.05); there were significant differences between the two groups in the sex distribution, preoperative onset time, body temperature, WBC, neutrophil percentage, CRP, albumin, the incidence of preoperative vomiting and preoperative body temperature ≥38 ° (P<0.05). Conclusion Identifying the risk factors of appendicitis according to preoperative laboratory tests and vomiting, fever and other symptoms, to select the correct and reasonable treatments.
KEYWORDS: acute complicated appendicitis; simple appendicitis; high risk factors

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