| 白血病并发急性阑尾炎的外科处理 |
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| 引用本文： | 刘作金,聂伟,施吉涵,罗云生,葛海燕. 白血病并发急性阑尾炎的外科处理[J]. 临床外科杂志, 2002, 10(6): 354-355 |
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| 作者姓名： | 刘作金 聂伟 施吉涵 罗云生 葛海燕 |
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| 作者单位： | 1. 400037,重庆,第三军医大学附属新桥医院普外科
2. 武警重庆总队医院 |
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| 摘 要： | 目的：提高对白血病并发急性阑尾炎时的诊断和治疗水平。方法：对我院1980-2002年间收治的17例该病例进行回顾性分析。结果：均于全麻下行阑尾切除术，治愈16例，死亡1例。结论：白血病患者化疗期间较正常人更易罹患急性阑尾炎，应首选手术治疗。患者免疫及凝血功能低下是增加手术危险性的主要原因。故围手术期应采用相应的措施。因术后切口并发症多见，需加强术后切口观察。
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| 关 键 词： | 白血病 急性阑尾炎 外科治疗 合并症 |
| 文章编号： | 1005-6843(2002)06-0354-02 |
| 修稿时间： | 2002-04-17 |
Surgical management of acute appendicitis in leukemia |
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| LIU Zuojin,NIE Wei,SI Jihan,et al.. Surgical management of acute appendicitis in leukemia[J]. Journal of Clinical Surgery, 2002, 10(6): 354-355 |
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| Authors: | LIU Zuojin NIE Wei SI Jihan et al. |
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| Affiliation: | LIU Zuojin,NIE Wei,SI Jihan,et al.Department of General Surgery,Xingqiao Hospital,the Third Military Medical University,Chongqing 400037,China |
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| Abstract: | Objective To improve the level of diagnosis and treatment of acute appendicitis in leukemia.Method 17 cases of acute appendicitis in leukemia that were treated from 1980 to 2002 were reviewed.Result All 17 cases underwent appendectomy,16 survived the immediate postoperative period,only one died.Conclusions Leukemia were predisposed to acute appendicitis than normal during chemotherapy period and our experience supports the surgical management of acute appendicitis in leukemia.Because immunosuppression and thrombocytopenia were the main causes of additional surgical dangers,relative methods should be applied in perioperation period.The complications of incision were common,so the observation of incision should be emphasized. |
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| Keywords: | Leukemia Acute appendicitis Surgical management |
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