维持性血液透析患者并发化脓性阑尾炎的手术治疗可行性分析

Feasibility analysis of surgery on maintenance hemodialysis patients complicated with suppurative appendicitis

目的评估维持性血液透析患者合并化脓性阑尾炎进行手术治疗的可行性。方法回顾性分析8例合并化脓性阑尾炎的维持性血液透析患者的手术治疗资料,总结临床经验。结果术后患者炎症相关指标(白细胞、C反应蛋白、降钙素原)明显下降(P<0.05)。所有患者均成功进行手术,无出血、感染等并发症,随访半年无远期并发症。结论经良好的围手术期处理,对MHD合并阑尾炎患者进行手术是安全可行的。

Objective To identify the feasibility of suppurative appendicitis operations in maintenance hemodialysis patients. Methods The medical records of 8 maintenance hemodialysis patients who experienced suppurative appen- dicitis operation were retrospectively evaluated. Results After surgery, inflammation related indicators （blood leuko cytes, c-reactive protein, calcitonin original） were significantly decreased （P〈0.05）. All of the patients＇ operations were successful, with no complications, such as bleeding and infection, no death. The average hospitalization time was 9.2 days, and half a year follow-up without adhesion sex intestinal obstruction, there is no long-term complications after six months follow-up. Conclusion Given good perioperative management in patients with MHD, appendicitis op- eration is safe and feasible.