Multiple organ failure caused by retroperitoneal appendiceal abscess was successfully treated in 1 case
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摘要: 总结分析1例腹膜后位阑尾并发腹膜后脓肿并引起全身多器官功能衰竭患者抢救成功的临床诊疗经过及预后, 学习相关文献资料。该患者的临床诊断考虑急性腹膜后位阑尾并发腹膜后脓肿并引起全身多脏器器官功能衰竭, 后转入佛山市中医院行腹腔囊肿切排、负压封闭引流术, 术后患者恢复顺利出院。Abstract: The clinical diagnosis, treatment and prognosis of a patient with retroperitoneal appendix complicated with retroperitoneal abscess and systemic multiple organ dysfunction were summarized and analyzed, and related literature was studied. The clinical diagnosis of the patient suggested acute retroperitoneal appendix complicated by retroperitoneal abscess and resulting in systemic multiple organ failure. The patient was transferred to our hospital for abdominal cyst resection and drainage and negative pressure closed drainage. The patient recovered successfully after surgery and was discharged from hospital later.
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[1] 刘艳凤, 刘艳, 刘悦. 彩色多普勒超声在诊断小儿急性阑尾炎中的临床价值[J]. 中国医疗器械信息, 2021, 27(11): 88-89. doi: 10.3969/j.issn.1006-6586.2021.11.039
[2] 黄民顺, 张卫, 谢天海. 多层螺旋CT应用于急性阑尾炎诊疗中的临床价值研究[J]. 影像研究与医学应用, 2023, 7(7): 116-118. https://www.cnki.com.cn/Article/CJFDTOTAL-YXYY202307037.htm
[3] 吴浛嘉. 多层螺旋CT征象诊断急性阑尾炎病理类型的临床效果[J]. 中外医学研究, 2022, 20(20): 66-69. https://www.cnki.com.cn/Article/CJFDTOTAL-YJZY202220017.htm
[4] 仝小刚, 王悦华, 江华. 277例老年患者坏疽性阑尾炎腹腔镜下手术经验总结[J]. 临床急诊杂志, 2021, 22(12): 843-846. https://lcjz.whuhzzs.com/article/doi/10.13201/j.issn.1009-5918.2021.12.012
[5] Balogun OS, Osinowo A, Afolayan M, et al. Acute perforated appendicitis in adults: Management and complications in Lagos, Nigeria[J]. Ann Afr Med, 2019, 18(1): 36-41. doi: 10.4103/aam.aam_11_18
[6] 刘洪勇. 腹腔镜阑尾切除术治疗阑尾周围脓肿的临床效果观察[J]. 河南外科学杂志, 2020, 26(1): 83-84. https://www.cnki.com.cn/Article/CJFDTOTAL-HLWK202001045.htm
[7] 李海聪, 许永健, 王兴强, 等. 关于阑尾脓肿手术治疗体会[J]. 中国医药指南, 2022, 20(36): 21-24. https://www.cnki.com.cn/Article/CJFDTOTAL-YYXK202236006.htm
[8] Hesketh RL, Fong M, Shepherd S, et al. Acute appendicitis and retroperitoneal abscess: rare complications of sigmoid diverticulitis[J]. Radiol Case Rep, 2021, 16(8): 1961-1964. doi: 10.1016/j.radcr.2021.04.075
[9] Mejri A, Arfaoui K, Mseddi MA, et al. The management of appendicular abscesses in a Tunisian Tertiary Care Hospital[J]. BMC Surg, 2021, 21(1): 427.
[10] 张强. 丹皮汤加减联合抗生素治疗阑尾周围脓肿临床疗效观察[D]. 甘肃中医药大学, 2020.
[11] 申艳敏. C反应蛋白、降钙素原及D-二聚体检测在急性阑尾炎患者中的评价价值[J]. 临床研究, 2023, 31(6): 127-129. https://www.cnki.com.cn/Article/CJFDTOTAL-LCYN202306039.htm
[12] 丁正东. 多层螺旋CT诊断急性阑尾炎的临床价值[J]. 影像研究与医学应用, 2023, 7(7): 128-130. https://www.cnki.com.cn/Article/CJFDTOTAL-YXYY202307041.htm
[13] 黄长青. 16排螺旋CT在急性阑尾炎诊断中的应用价值分析[J]. 黑龙江科学, 2021, 12(14): 76-77. https://www.cnki.com.cn/Article/CJFDTOTAL-HELJ202114029.htm
[14] 王少华, 史建英, 杨志刚, 等. MSCT平扫在基层医院诊断儿童不典型急性阑尾炎的价值[J]. 临床急诊杂志, 2021, 22(11): 772-775. https://lcjz.whuhzzs.com/article/doi/10.13201/j.issn.1009-5918.2021.11.013
[15] 孙红红. 急性阑尾炎临床诊断中多层螺旋CT的临床应用价值[J]. 影像研究与医学应用, 2022, 6(24): 118-120. https://www.cnki.com.cn/Article/CJFDTOTAL-YXYY202224039.htm
[16] 李光明, 梁永晴, 李立青, 等. 急性复杂性与非复杂性阑尾炎临床和MSCT征象比较[J]. 广东医学, 2019, 40(6): 853-856. https://www.cnki.com.cn/Article/CJFDTOTAL-GAYX201906024.htm
[17] 米娜. 超声引导下穿刺引流联合中药红藤汤治疗阑尾脓肿的临床研究[J]. 中医临床研究, 2020, 12(17): 129-131. https://www.cnki.com.cn/Article/CJFDTOTAL-ZYLY202017045.htm
[18] 王文强. 经皮穿刺置管引流与腹腔镜术治疗阑尾周围脓肿的效果对比分析[J]. 现代医用影像学, 2019, 28(2): 284-285. https://www.cnki.com.cn/Article/CJFDTOTAL-XDYY201902020.htm
[19] 黄邵斌, 戴银霞, 白剑等. 内镜逆行性阑尾炎治疗术治疗阑尾周围脓肿的疗效分析[J]. 现代消化及介入诊疗, 2022, 27(10): 1292-1295. https://www.cnki.com.cn/Article/CJFDTOTAL-XDXH202210013.htm
[20] 郭晓芳, 梁培, 尤勇, 等. 腹腔感染相关脓毒症患者凝血功能障碍发病及危险因素分析[J]. 临床急诊杂志, 2022, 23(4): 260-264. https://lcjz.whuhzzs.com/article/doi/10.13201/j.issn.1009-5918.2022.04.008
[21] Li Z, Li Z, Zhao L, et al. Abdominal drainage to prevent intra-peritoneal abscess after appendectomy for complicated appendicitis[J]. Cochrane Database Syst Rev, 2021, 8(8): CD010168.
[22] 欧阳堃, 唐城, 张辉, 等. 负压封闭引流在急腹症术后手术部位感染中的应用[J]. 实用临床医学, 2023, 24(2): 34-37. https://www.cnki.com.cn/Article/CJFDTOTAL-LCSY202302009.htm
[23] 阮志君, 易维真. 负压封闭引流与传统切开引流技术治疗慢性乳腺炎的疗效比较[J]. 中国临床医生杂志, 2022, 50(8): 949-952. https://www.cnki.com.cn/Article/CJFDTOTAL-ZLYS202208022.htm
[24] Luo CC, Cheng KF, Huang CS, et al. Therapeutic effectiveness of percutaneous drainage and factors for performing an interval appendectomy in pediatric appendiceal abscess[J]. BMC Surg, 2016, 16(1): 72.
[25] Garba ES, Ahmed A. Management of appendiceal mass[J]. Ann Afr Med, 2008, 7(4): 200-204.
[26] Nahhas A, Abderahman A, Kharaba A. A snake in the grass: retroperitoneal abscess due to perforated appendicitis-management, approach and recommendations[J]. J Surgical Case Rep, 2019, 2019(5): 163.
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