1、切(qie)口(kou)感(gan)染(ran)多(duo)因手術(shu)操(cao)作時(shi)污染(ran)，壞(huai)疽或(huo)穿孔(kong)性(xing)闌尾(wei)炎(yan)尤易(yi)發生。術(shu)后3～5日體溫(wen)持續升高或(huo)下降后重又升高，病(bing)人(ren)感(gan)覺傷口(kou)疼(teng)痛(tong)，切(qie)口(kou)周圍皮膚有紅腫觸痛(tong)，則提(ti)示有切(qie)口(kou)感(gan)染(ran)。
2、腹腔內出血(xue)闌尾動脈出血(xue)均因闌尾系膜結扎(zha)線脫(tuo)落，病人表現面色蒼白(bai)、伴腹痛、腹脹、脈速(su)、出冷汗，有血(xue)壓下降等(deng)休(xiu)克(ke)癥狀，必(bi)須立即平(ping)臥，鎮(zhen)靜，氧(yang)氣吸入(ru)，靜脈輸液，同時抽血(xue)作血(xue)型鑒(jian)定及(ji)交叉配(pei)血(xue)，準備手術(shu)止血(xue)。
3、腹腔殘余膿腫(zhong)病人表(biao)現術(shu)后持(chi)續高燒，感(gan)覺腹痛(tong)，腹脹，有里急后重(zhong)感(gan)，進而出現中毒癥狀。應(ying)注意采取半(ban)臥位(wei)體位(wei)引流(liu)，使分泌物或(huo)膿液流(liu)入盆腔，減輕(qing)中毒現象，同(tong)時加強抗(kang)生素治療(liao)。未見好轉(zhuan)者建(jian)議做引流(liu)手(shou)術(shu)。
4、糞(fen)(fen)瘺(lou)闌尾殘端結扎(zha)線脫落(luo)或手術時誤傷腸管等，均可導(dao)致糞(fen)(fen)瘺(lou)。糞(fen)(fen)瘺(lou)通常(chang)為結腸瘺(lou)，形成(cheng)時感染一般局(ju)限在盲腸周圍，無(wu)彌漫(man)性腹膜炎(yan)的威脅，體溫(wen)不很高，營(ying)養缺失亦不嚴(yan)重，應用(yong)抗生素治療后大多能自愈。
家庭(ting)養(yang)護(hu)(hu)(hu) 急性闌(lan)尾(wei)(wei)(wei)炎(yan)(yan)(yan)(yan)是(shi)可(ke)(ke)(ke)(ke)(ke)以(yi)(yi)(yi)(yi)(yi)(yi)(yi)(yi)消(xiao)(xiao)退(tui)的(de)(de)(de)(de)(de)(de)，但(dan)消(xiao)(xiao)退(tui)后(hou)(hou)(hou)(hou)(hou)(hou)約有(you)四(si)分(fen)(fen)之一的(de)(de)(de)(de)(de)(de)病(bing)人(ren)(ren)(ren)(ren)(ren)會(hui)復(fu)發(fa)。目前(qian)手(shou)(shou)(shou)(shou)(shou)(shou)(shou)(shou)(shou)(shou)(shou)術(shu)(shu)(shu)(shu)(shu)(shu)(shu)(shu)方法比(bi)較安全，絕大(da)(da)(da)多(duo)(duo)數(shu)手(shou)(shou)(shou)(shou)(shou)(shou)(shou)(shou)(shou)(shou)(shou)術(shu)(shu)(shu)(shu)(shu)(shu)(shu)(shu)效果是(shi)良好的(de)(de)(de)(de)(de)(de)。非手(shou)(shou)(shou)(shou)(shou)(shou)(shou)(shou)(shou)(shou)(shou)術(shu)(shu)(shu)(shu)(shu)(shu)(shu)(shu)療(liao)(liao)(liao)(liao)法主(zhu)要(yao)(yao)(yao)是(shi)抗感(gan)染(即消(xiao)(xiao)炎(yan)(yan)(yan)(yan))。但(dan)應(ying)(ying)(ying)(ying)(ying)(ying)當(dang)做(zuo)好隨(sui)時(shi)(shi)(shi)(shi)住(zhu)院治(zhi)(zhi)療(liao)(liao)(liao)(liao)的(de)(de)(de)(de)(de)(de)準備工作，以(yi)(yi)(yi)(yi)(yi)(yi)(yi)(yi)免延誤治(zhi)(zhi)療(liao)(liao)(liao)(liao)使(shi)病(bing)情(qing)發(fa)展(zhan)到嚴重(zhong)(zhong)程(cheng)度(du)造成(cheng)(cheng)(cheng)治(zhi)(zhi)療(liao)(liao)(liao)(liao)困難。 1．家庭(ting)用(yong)(yong)(yong)藥(yao)：用(yong)(yong)(yong)藥(yao)要(yao)(yao)(yao)早，最(zui)好在(zai)(zai)(zai)炎(yan)(yan)(yan)(yan)癥未發(fa)展(zhan)成(cheng)(cheng)(cheng)腹(fu)(fu)(fu)膜炎(yan)(yan)(yan)(yan)時(shi)(shi)(shi)(shi)能(neng)控制(zhi)住(zhu)。可(ke)(ke)(ke)(ke)(ke)選用(yong)(yong)(yong)以(yi)(yi)(yi)(yi)(yi)(yi)(yi)(yi)下藥(yao)物(wu)(wu)(wu)： (1)青霉(mei)(mei)素(su)(su)，每(mei)次(ci)(ci)80萬單位，6小時(shi)(shi)(shi)(shi)1次(ci)(ci)肌肉注(zhu)(zhu)射。用(yong)(yong)(yong)前(qian)必(bi)須先做(zuo)過敏試(shi)驗。 (2)鏈霉(mei)(mei)素(su)(su)，每(mei)次(ci)(ci)0．5克(ke)(ke)，12小時(shi)(shi)(shi)(shi)1次(ci)(ci)肌肉注(zhu)(zhu)射。應(ying)(ying)(ying)(ying)(ying)(ying)與(yu)青霉(mei)(mei)素(su)(su)同時(shi)(shi)(shi)(shi)應(ying)(ying)(ying)(ying)(ying)(ying)用(yong)(yong)(yong)。 (3)慶大(da)(da)(da)霉(mei)(mei)素(su)(su)，每(mei)次(ci)(ci)8萬單位，8小時(shi)(shi)(shi)(shi)1次(ci)(ci)肌肉注(zhu)(zhu)射。 (4)先鋒四(si)號(hao)，每(mei)次(ci)(ci)0．5克(ke)(ke)，每(mei)日(ri)(ri)4次(ci)(ci)口(kou)服(fu)。 (5)螺旋(xuan)霉(mei)(mei)素(su)(su)，每(mei)次(ci)(ci)0．2克(ke)(ke)，每(mei)日(ri)(ri)4~6次(ci)(ci)口(kou)服(fu)。 2.中(zhong)藥(yao)及(ji)(ji)(ji)(ji)偏(pian)方 (1)銀(yin)花、公英各50克(ke)(ke)，丹皮25克(ke)(ke)，大(da)(da)(da)黃15克(ke)(ke)，赤芍(shao)12克(ke)(ke)，川楝子、桃仁、甘草各9克(ke)(ke)，每(mei)天(tian)l~2劑(ji)，水煎(jian)(jian)后(hou)(hou)(hou)(hou)(hou)(hou)分(fen)(fen)2、4次(ci)(ci)服(fu)。 (2)雞血藤100克(ke)(ke)，地(di)丁50克(ke)(ke)，川楝子25克(ke)(ke)，每(mei)日(ri)(ri)1劑(ji)，水煎(jian)(jian)兩(liang)次(ci)(ci)混(hun)合后(hou)(hou)(hou)(hou)(hou)(hou)分(fen)(fen)2次(ci)(ci)服(fu)。 (3)針刺(ci)足三里、闌(lan)尾(wei)(wei)(wei)穴(xue)、阿(a)是(shi)穴(xue)。嘔吐者加內(nei)關(guan)穴(xue)。 (4)薏(yi)米(mi)50克(ke)(ke)，冬瓜籽25克(ke)(ke)，丹皮、桃仁、紫花地(di)丁各15克(ke)(ke)加水300毫升(6兩(liang))，煎(jian)(jian)到100毫升。煎(jian)(jian)2次(ci)(ci)混(hun)合后(hou)(hou)(hou)(hou)(hou)(hou)分(fen)(fen)兩(liang)次(ci)(ci)服(fu)，每(mei)日(ri)(ri)1劑(ji)。 (5)紅(hong)藤、忍冬藤各100克(ke)(ke)，生(sheng)(sheng)(sheng)大(da)(da)(da)黃15克(ke)(ke)，水煎(jian)(jian)后(hou)(hou)(hou)(hou)(hou)(hou)加黃酒(jiu)1小杯分(fen)(fen)兩(liang)次(ci)(ci)服(fu)，每(mei)日(ri)(ri) l劑(ji)。 3．營(ying)養(yang)和飲(yin)(yin)食(shi)(shi)(shi)(shi)(shi)(shi)(shi)(shi)(shi)(shi) 應(ying)(ying)(ying)(ying)(ying)(ying)給(gei)予(yu)流(liu)(liu)(liu)(liu)質(zhi)(zhi)(zhi)飲(yin)(yin)食(shi)(shi)(shi)(shi)(shi)(shi)(shi)(shi)(shi)(shi)，如(ru)牛奶、豆漿、米(mi)湯、肉湯等。或(huo)半(ban)(ban)流(liu)(liu)(liu)(liu)質(zhi)(zhi)(zhi)飲(yin)(yin)食(shi)(shi)(shi)(shi)(shi)(shi)(shi)(shi)(shi)(shi)，如(ru)粥、稀軟(ruan)(ruan)面條(tiao)等。如(ru)果準備住(zhu)院手(shou)(shou)(shou)(shou)(shou)(shou)(shou)(shou)(shou)(shou)(shou)術(shu)(shu)(shu)(shu)(shu)(shu)(shu)(shu)治(zhi)(zhi)療(liao)(liao)(liao)(liao)則(ze)應(ying)(ying)(ying)(ying)(ying)(ying)禁(jin)食(shi)(shi)(shi)(shi)(shi)(shi)(shi)(shi)(shi)(shi)禁(jin)水。 4．家庭(ting)護(hu)(hu)(hu)理(li) (1)手(shou)(shou)(shou)(shou)(shou)(shou)(shou)(shou)(shou)(shou)(shou)術(shu)(shu)(shu)(shu)(shu)(shu)(shu)(shu)前(qian)：應(ying)(ying)(ying)(ying)(ying)(ying)密切(qie)(qie)觀察病(bing)人(ren)(ren)(ren)(ren)(ren)的(de)(de)(de)(de)(de)(de)腹(fu)(fu)(fu)痛(tong)(tong)(tong)情(qing)況，大(da)(da)(da)便(bian)，體(ti)溫(wen)(wen)和脈搏。應(ying)(ying)(ying)(ying)(ying)(ying)讓病(bing)人(ren)(ren)(ren)(ren)(ren)休(xiu)息好。有(you)腹(fu)(fu)(fu)膜炎(yan)(yan)(yan)(yan)者應(ying)(ying)(ying)(ying)(ying)(ying)取(qu)半(ban)(ban)坐位(即病(bing)人(ren)(ren)(ren)(ren)(ren)坐在(zai)(zai)(zai)床上(shang)，背后(hou)(hou)(hou)(hou)(hou)(hou)靠(kao)在(zai)(zai)(zai)被(bei)子上(shang))。用(yong)(yong)(yong)熱(re)毛巾或(huo)熱(re)水袋敷(fu)在(zai)(zai)(zai)腹(fu)(fu)(fu)痛(tong)(tong)(tong)部(bu)(bu)位，可(ke)(ke)(ke)(ke)(ke)促(cu)進(jin)炎(yan)(yan)(yan)(yan)癥吸收。 (2)手(shou)(shou)(shou)(shou)(shou)(shou)(shou)(shou)(shou)(shou)(shou)術(shu)(shu)(shu)(shu)(shu)(shu)(shu)(shu)后(hou)(hou)(hou)(hou)(hou)(hou)：因為腸(chang)(chang)(chang)道(dao)(dao)(dao)手(shou)(shou)(shou)(shou)(shou)(shou)(shou)(shou)(shou)(shou)(shou)術(shu)(shu)(shu)(shu)(shu)(shu)(shu)(shu)后(hou)(hou)(hou)(hou)(hou)(hou)胃(wei)腸(chang)(chang)(chang)活(huo)動(dong)暫時(shi)(shi)(shi)(shi)停止(zhi)。進(jin)入(ru)胃(wei)腸(chang)(chang)(chang)內(nei)的(de)(de)(de)(de)(de)(de)食(shi)(shi)(shi)(shi)(shi)(shi)(shi)(shi)(shi)(shi)水不(bu)能(neng)下行，積于胃(wei)內(nei)引起(qi)腹(fu)(fu)(fu)脹(zhang)。所(suo)(suo)以(yi)(yi)(yi)(yi)(yi)(yi)(yi)(yi)手(shou)(shou)(shou)(shou)(shou)(shou)(shou)(shou)(shou)(shou)(shou)術(shu)(shu)(shu)(shu)(shu)(shu)(shu)(shu)后(hou)(hou)(hou)(hou)(hou)(hou)不(bu)能(neng)吃喝(he)。要(yao)(yao)(yao)等到胃(wei)腸(chang)(chang)(chang)活(huo)動(dong)恢(hui)(hui)復(fu)后(hou)(hou)(hou)(hou)(hou)(hou)才(cai)(cai)能(neng)進(jin)食(shi)(shi)(shi)(shi)(shi)(shi)(shi)(shi)(shi)(shi)。胃(wei)腸(chang)(chang)(chang)活(huo)動(dong)恢(hui)(hui)復(fu)的(de)(de)(de)(de)(de)(de)標志是(shi)能(neng)聽到腹(fu)(fu)(fu)內(nei)腸(chang)(chang)(chang)鳴聲(即咕嚕、咕嚕的(de)(de)(de)(de)(de)(de)叫聲)或(huo)肛(gang)門(men)(men)排(pai)氣(qi)(qi)(放屁)。術(shu)(shu)(shu)(shu)(shu)(shu)(shu)(shu)后(hou)(hou)(hou)(hou)(hou)(hou)腸(chang)(chang)(chang)管(guan)不(bu)活(huo)動(dong)，手(shou)(shou)(shou)(shou)(shou)(shou)(shou)(shou)(shou)(shou)(shou)術(shu)(shu)(shu)(shu)(shu)(shu)(shu)(shu)創傷(shang)處容易粘連(lian)。所(suo)(suo)以(yi)(yi)(yi)(yi)(yi)(yi)(yi)(yi)要(yao)(yao)(yao)鼓(gu)勵病(bing)人(ren)(ren)(ren)(ren)(ren)多(duo)(duo)活(huo)動(dong)。一方面預(yu)防腸(chang)(chang)(chang)粘連(lian)，另一方面也(ye)可(ke)(ke)(ke)(ke)(ke)以(yi)(yi)(yi)(yi)(yi)(yi)(yi)(yi)促(cu)進(jin)胃(wei)腸(chang)(chang)(chang)活(huo)動(dong)的(de)(de)(de)(de)(de)(de)恢(hui)(hui)復(fu)。腹(fu)(fu)(fu)部(bu)(bu)手(shou)(shou)(shou)(shou)(shou)(shou)(shou)(shou)(shou)(shou)(shou)術(shu)(shu)(shu)(shu)(shu)(shu)(shu)(shu)后(hou)(hou)(hou)(hou)(hou)(hou)病(bing)人(ren)(ren)(ren)(ren)(ren)咳(ke)嗽(sou)是(shi)一件痛(tong)(tong)(tong)苦(ku)的(de)(de)(de)(de)(de)(de)事(shi)。可(ke)(ke)(ke)(ke)(ke)以(yi)(yi)(yi)(yi)(yi)(yi)(yi)(yi)用(yong)(yong)(yong)些止(zhi)咳(ke)、祛痰(tan)藥(yao)物(wu)(wu)(wu)，如(ru)復(fu)方甘草片3片，每(mei)日(ri)(ri)3次(ci)(ci)口(kou)服(fu)。或(huo)用(yong)(yong)(yong)咳(ke)必(bi)清(qing)50毫克(ke)(ke)，每(mei)日(ri)(ri)3次(ci)(ci)口(kou)服(fu)。病(bing)人(ren)(ren)(ren)(ren)(ren)有(you)痰(tan)是(shi)必(bi)須要(yao)(yao)(yao)咳(ke)出(chu)來的(de)(de)(de)(de)(de)(de)。為了(le)減(jian)(jian)輕(qing)病(bing)人(ren)(ren)(ren)(ren)(ren)的(de)(de)(de)(de)(de)(de)痛(tong)(tong)(tong)苦(ku)，護(hu)(hu)(hu)理(li)人(ren)(ren)(ren)(ren)(ren)員(yuan)可(ke)(ke)(ke)(ke)(ke)以(yi)(yi)(yi)(yi)(yi)(yi)(yi)(yi)協助病(bing)人(ren)(ren)(ren)(ren)(ren)。即在(zai)(zai)(zai)咳(ke)嗽(sou)時(shi)(shi)(shi)(shi)用(yong)(yong)(yong)雙(shuang)手(shou)(shou)(shou)(shou)(shou)(shou)(shou)(shou)(shou)(shou)(shou)放在(zai)(zai)(zai)切(qie)(qie)口(kou)兩(liang)側(ce)向中(zhong)間用(yong)(yong)(yong)力(li)(li)(li)，可(ke)(ke)(ke)(ke)(ke)以(yi)(yi)(yi)(yi)(yi)(yi)(yi)(yi)減(jian)(jian)輕(qing)病(bing)人(ren)(ren)(ren)(ren)(ren)咳(ke)嗽(sou)時(shi)(shi)(shi)(shi)的(de)(de)(de)(de)(de)(de)疼痛(tong)(tong)(tong)。闌(lan)尾(wei)(wei)(wei)手(shou)(shou)(shou)(shou)(shou)(shou)(shou)(shou)(shou)(shou)(shou)術(shu)(shu)(shu)(shu)(shu)(shu)(shu)(shu)后(hou)(hou)(hou)(hou)(hou)(hou)有(you)可(ke)(ke)(ke)(ke)(ke)能(neng)發(fa)生(sheng)(sheng)(sheng)一些并發(fa)癥。所(suo)(suo)以(yi)(yi)(yi)(yi)(yi)(yi)(yi)(yi)陪護(hu)(hu)(hu)人(ren)(ren)(ren)(ren)(ren)員(yuan)如(ru)果發(fa)觀病(bing)人(ren)(ren)(ren)(ren)(ren)有(you)不(bu)正(zheng)常的(de)(de)(de)(de)(de)(de)變化(hua)，如(ru)滿腹(fu)(fu)(fu)疼痛(tong)(tong)(tong)；手(shou)(shou)(shou)(shou)(shou)(shou)(shou)(shou)(shou)(shou)(shou)術(shu)(shu)(shu)(shu)(shu)(shu)(shu)(shu)后(hou)(hou)(hou)(hou)(hou)(hou)3天(tian)體(ti)溫(wen)(wen)反而(er)升高；腹(fu)(fu)(fu)脹(zhang)、肛(gang)門(men)(men)不(bu)排(pai)氣(qi)(qi)；切(qie)(qie)口(kou)出(chu)血、流(liu)(liu)(liu)(liu)膿水等應(ying)(ying)(ying)(ying)(ying)(ying)及(ji)(ji)(ji)(ji)時(shi)(shi)(shi)(shi)和醫(yi)生(sheng)(sheng)(sheng)聯系，以(yi)(yi)(yi)(yi)(yi)(yi)(yi)(yi)取(qu)得及(ji)(ji)(ji)(ji)時(shi)(shi)(shi)(shi)處理(li)。如(ru)果醫(yi)生(sheng)(sheng)(sheng)囑咐(fu)病(bing)人(ren)(ren)(ren)(ren)(ren)半(ban)(ban)坐位，陪護(hu)(hu)(hu)人(ren)(ren)(ren)(ren)(ren)應(ying)(ying)(ying)(ying)(ying)(ying)配(pei)(pei)合醫(yi)生(sheng)(sheng)(sheng)做(zuo)工作，使(shi)病(bing)人(ren)(ren)(ren)(ren)(ren)堅持半(ban)(ban)坐位。出(chu)院后(hou)(hou)(hou)(hou)(hou)(hou)半(ban)(ban)月內(nei)不(bu)宜做(zuo)劇烈運動(dong)或(huo)重(zhong)(zhong)體(ti)力(li)(li)(li)勞動(dong)。如(ru)挑水、打籃球等。 (四(si))注(zhu)(zhu)意事(shi)項(xiang) 1.腹(fu)(fu)(fu)痛(tong)(tong)(tong)在(zai)(zai)(zai)沒(mei)(mei)有(you)明(ming)確診斷之前(qian)不(bu)可(ke)(ke)(ke)(ke)(ke)隨(sui)便(bian)用(yong)(yong)(yong)止(zhi)痛(tong)(tong)(tong)藥(yao)。因為止(zhi)痛(tong)(tong)(tong)后(hou)(hou)(hou)(hou)(hou)(hou)掩(yan)蓋了(le)病(bing)情(qing)，容易延誤診斷而(er)造成(cheng)(cheng)(cheng)嚴重(zhong)(zhong)后(hou)(hou)(hou)(hou)(hou)(hou)果。 2.患急性闌(lan)尾(wei)(wei)(wei)炎(yan)(yan)(yan)(yan)后(hou)(hou)(hou)(hou)(hou)(hou)，如(ru)果家庭(ting)治(zhi)(zhi)療(liao)(liao)(liao)(liao)無效應(ying)(ying)(ying)(ying)(ying)(ying)及(ji)(ji)(ji)(ji)時(shi)(shi)(shi)(shi)送醫(yi)院。 3.根據目前(qian)的(de)(de)(de)(de)(de)(de)醫(yi)療(liao)(liao)(liao)(liao)水平及(ji)(ji)(ji)(ji)技術(shu)(shu)(shu)(shu)(shu)(shu)(shu)(shu)條(tiao)件，急性闌(lan)尾(wei)(wei)(wei)炎(yan)(yan)(yan)(yan)手(shou)(shou)(shou)(shou)(shou)(shou)(shou)(shou)(shou)(shou)(shou)術(shu)(shu)(shu)(shu)(shu)(shu)(shu)(shu)治(zhi)(zhi)療(liao)(liao)(liao)(liao)效果較好，既(ji)使(shi)保(bao)守治(zhi)(zhi)療(liao)(liao)(liao)(liao)痊(quan)愈后(hou)(hou)(hou)(hou)(hou)(hou)也(ye)容易再(zai)次(ci)(ci)發(fa)作，所(suo)(suo)以(yi)(yi)(yi)(yi)(yi)(yi)(yi)(yi)急性闌(lan)尾(wei)(wei)(wei)炎(yan)(yan)(yan)(yan)在(zai)(zai)(zai)有(you)條(tiao)件的(de)(de)(de)(de)(de)(de)清(qing)況下，還是(shi)以(yi)(yi)(yi)(yi)(yi)(yi)(yi)(yi)手(shou)(shou)(shou)(shou)(shou)(shou)(shou)(shou)(shou)(shou)(shou)術(shu)(shu)(shu)(shu)(shu)(shu)(shu)(shu)治(zhi)(zhi)療(liao)(liao)(liao)(liao)為主(zhu)。 4.非手(shou)(shou)(shou)(shou)(shou)(shou)(shou)(shou)(shou)(shou)(shou)術(shu)(shu)(shu)(shu)(shu)(shu)(shu)(shu)治(zhi)(zhi)療(liao)(liao)(liao)(liao)者，在(zai)(zai)(zai)用(yong)(yong)(yong)藥(yao)時(shi)(shi)(shi)(shi)應(ying)(ying)(ying)(ying)(ying)(ying)徹底。在(zai)(zai)(zai)癥狀(zhuang)、體(ti)征消(xiao)(xiao)失后(hou)(hou)(hou)(hou)(hou)(hou)仍應(ying)(ying)(ying)(ying)(ying)(ying)用(yong)(yong)(yong)藥(yao)—周，以(yi)(yi)(yi)(yi)(yi)(yi)(yi)(yi)鞏固療(liao)(liao)(liao)(liao)效，減(jian)(jian)少(shao)(shao)復(fu)發(fa)。 5．住(zhu)院治(zhi)(zhi)療(liao)(liao)(liao)(liao)應(ying)(ying)(ying)(ying)(ying)(ying)聽從醫(yi)生(sheng)(sheng)(sheng)安排(pai)。陪護(hu)(hu)(hu)人(ren)(ren)(ren)(ren)(ren)員(yuan)應(ying)(ying)(ying)(ying)(ying)(ying)配(pei)(pei)合醫(yi)護(hu)(hu)(hu)人(ren)(ren)(ren)(ren)(ren)員(yuan)做(zuo)好病(bing)人(ren)(ren)(ren)(ren)(ren)的(de)(de)(de)(de)(de)(de)工作。 6．闌(lan)尾(wei)(wei)(wei)炎(yan)(yan)(yan)(yan)病(bing)情(qing)及(ji)(ji)(ji)(ji)體(ti)征變化(hua)較大(da)(da)(da)，有(you)很(hen)多(duo)(duo)病(bing)人(ren)(ren)(ren)(ren)(ren)表現不(bu)典(dian)型。在(zai)(zai)(zai)沒(mei)(mei)有(you)把(ba)握的(de)(de)(de)(de)(de)(de)情(qing)況下最(zui)好去(qu)醫(yi)院就(jiu)診。以(yi)(yi)(yi)(yi)(yi)(yi)(yi)(yi)免延誤診斷、治(zhi)(zhi)療(liao)(liao)(liao)(liao)。 (五(wu)(wu))預(yu)防常識(shi) 1．增強體(ti)質(zhi)(zhi)(zhi)，講究衛(wei)生(sheng)(sheng)(sheng)。 2．注(zhu)(zhu)意不(bu)要(yao)(yao)(yao)受(shou)涼和飲(yin)(yin)食(shi)(shi)(shi)(shi)(shi)(shi)(shi)(shi)(shi)(shi)不(bu)節。 3．及(ji)(ji)(ji)(ji)時(shi)(shi)(shi)(shi)治(zhi)(zhi)療(liao)(liao)(liao)(liao)便(bian)秘及(ji)(ji)(ji)(ji)腸(chang)(chang)(chang)道(dao)(dao)(dao)寄生(sheng)(sheng)(sheng)蟲。 闌(lan)尾(wei)(wei)(wei)炎(yan)(yan)(yan)(yan)手(shou)(shou)(shou)(shou)(shou)(shou)(shou)(shou)(shou)(shou)(shou)術(shu)(shu)(shu)(shu)(shu)(shu)(shu)(shu)后(hou)(hou)(hou)(hou)(hou)(hou)飲(yin)(yin)食(shi)(shi)(shi)(shi)(shi)(shi)(shi)(shi)(shi)(shi)禁(jin)忌(ji) 消(xiao)(xiao)化(hua)道(dao)(dao)(dao)及(ji)(ji)(ji)(ji)腹(fu)(fu)(fu)部(bu)(bu)手(shou)(shou)(shou)(shou)(shou)(shou)(shou)(shou)(shou)(shou)(shou)術(shu)(shu)(shu)(shu)(shu)(shu)(shu)(shu)與(yu)飲(yin)(yin)食(shi)(shi)(shi)(shi)(shi)(shi)(shi)(shi)(shi)(shi)禁(jin)忌(ji)關(guan)系密切(qie)(qie)，必(bi)須引起(qi)重(zhong)(zhong)視(shi)。 1．禁(jin)忌(ji)任(ren)何(he)食(shi)(shi)(shi)(shi)(shi)(shi)(shi)(shi)(shi)(shi)物(wu)(wu)(wu)的(de)(de)(de)(de)(de)(de)攝(she)入(ru) 消(xiao)(xiao)化(hua)道(dao)(dao)(dao)及(ji)(ji)(ji)(ji)腹(fu)(fu)(fu)部(bu)(bu)較大(da)(da)(da)的(de)(de)(de)(de)(de)(de)手(shou)(shou)(shou)(shou)(shou)(shou)(shou)(shou)(shou)(shou)(shou)術(shu)(shu)(shu)(shu)(shu)(shu)(shu)(shu)后(hou)(hou)(hou)(hou)(hou)(hou)，腸(chang)(chang)(chang)道(dao)(dao)(dao)處于低功能(neng)狀(zhuang)態，須禁(jin)食(shi)(shi)(shi)(shi)(shi)(shi)(shi)(shi)(shi)(shi)。在(zai)(zai)(zai)手(shou)(shou)(shou)(shou)(shou)(shou)(shou)(shou)(shou)(shou)(shou)術(shu)(shu)(shu)(shu)(shu)(shu)(shu)(shu)后(hou)(hou)(hou)(hou)(hou)(hou) 2-3天(tian)后(hou)(hou)(hou)(hou)(hou)(hou)，如(ru)肛(gang)門(men)(men)排(pai)氣(qi)(qi)，則(ze)提示腸(chang)(chang)(chang)道(dao)(dao)(dao)功能(neng)開始恢(hui)(hui)復(fu)，此時(shi)(shi)(shi)(shi)可(ke)(ke)(ke)(ke)(ke)給(gei)予(yu)少(shao)(shao)量的(de)(de)(de)(de)(de)(de)流(liu)(liu)(liu)(liu)質(zhi)(zhi)(zhi)飲(yin)(yin)食(shi)(shi)(shi)(shi)(shi)(shi)(shi)(shi)(shi)(shi)。5-6天(tian)后(hou)(hou)(hou)(hou)(hou)(hou)可(ke)(ke)(ke)(ke)(ke)改為少(shao)(shao)渣(zha) 半(ban)(ban)流(liu)(liu)(liu)(liu)質(zhi)(zhi)(zhi)飲(yin)(yin)食(shi)(shi)(shi)(shi)(shi)(shi)(shi)(shi)(shi)(shi)，這段時(shi)(shi)(shi)(shi)間內(nei)，流(liu)(liu)(liu)(liu)質(zhi)(zhi)(zhi)應(ying)(ying)(ying)(ying)(ying)(ying)清(qing)淡富于營(ying)養(yang)，并且(qie)要(yao)(yao)(yao)溫(wen)(wen)服(fu)，避免將食(shi)(shi)(shi)(shi)(shi)(shi)(shi)(shi)(shi)(shi)物(wu)(wu)(wu)粗(cu)渣(zha)帶入(ru)流(liu)(liu)(liu)(liu)質(zhi)(zhi)(zhi)中(zhong)攝(she)入(ru)。改 用(yong)(yong)(yong)少(shao)(shao)渣(zha)半(ban)(ban)流(liu)(liu)(liu)(liu)質(zhi)(zhi)(zhi)飲(yin)(yin)食(shi)(shi)(shi)(shi)(shi)(shi)(shi)(shi)(shi)(shi)時(shi)(shi)(shi)(shi)，忌(ji)食(shi)(shi)(shi)(shi)(shi)(shi)(shi)(shi)(shi)(shi)帶雞肉、火(huo)腿(tui)以(yi)(yi)(yi)(yi)(yi)(yi)(yi)(yi)及(ji)(ji)(ji)(ji)各種蔬菜的(de)(de)(de)(de)(de)(de)湯類，即使(shi)這些食(shi)(shi)(shi)(shi)(shi)(shi)(shi)(shi)(shi)(shi)品已(yi)經煮(zhu)得很(hen)爛，也(ye)須等 到手(shou)(shou)(shou)(shou)(shou)(shou)(shou)(shou)(shou)(shou)(shou)術(shu)(shu)(shu)(shu)(shu)(shu)(shu)(shu)后(hou)(hou)(hou)(hou)(hou)(hou)10天(tian)才(cai)(cai)能(neng)酌情(qing)給(gei)予(yu)。 2．忌(ji)油(you)膩食(shi)(shi)(shi)(shi)(shi)(shi)(shi)(shi)(shi)(shi)物(wu)(wu)(wu) 即使(shi)到了(le)手(shou)(shou)(shou)(shou)(shou)(shou)(shou)(shou)(shou)(shou)(shou)術(shu)(shu)(shu)(shu)(shu)(shu)(shu)(shu)后(hou)(hou)(hou)(hou)(hou)(hou)第10天(tian)，機體(ti)能(neng)承(cheng)受(shou)軟(ruan)(ruan)飯(fan)時(shi)(shi)(shi)(shi)，也(ye)不(bu)能(neng)過早食(shi)(shi)(shi)(shi)(shi)(shi)(shi)(shi)(shi)(shi)入(ru)油(you)膩食(shi)(shi)(shi)(shi)(shi)(shi)(shi)(shi)(shi)(shi)物(wu)(wu)(wu)。 3．忌(ji)發(fa)物(wu)(wu)(wu) 手(shou)(shou)(shou)(shou)(shou)(shou)(shou)(shou)(shou)(shou)(shou)術(shu)(shu)(shu)(shu)(shu)(shu)(shu)(shu)兩(liang)周后(hou)(hou)(hou)(hou)(hou)(hou)，盡管(guan)恢(hui)(hui)復(fu)得很(hen)好，也(ye)已(yi)經拆線，但(dan)是(shi)這段時(shi)(shi)(shi)(shi)間機體(ti)抵抗力(li)(li)(li)還是(shi)很(hen)弱(ruo)的(de)(de)(de)(de)(de)(de)， 炎(yan)(yan)(yan)(yan)癥發(fa)生(sheng)(sheng)(sheng)的(de)(de)(de)(de)(de)(de)危險依然存在(zai)(zai)(zai)，故必(bi)須禁(jin)忌(ji)發(fa)物(wu)(wu)(wu)。 消(xiao)(xiao)化(hua)道(dao)(dao)(dao)及(ji)(ji)(ji)(ji)腹(fu)(fu)(fu)部(bu)(bu)手(shou)(shou)(shou)(shou)(shou)(shou)(shou)(shou)(shou)(shou)(shou)術(shu)(shu)(shu)(shu)(shu)(shu)(shu)(shu)包括食(shi)(shi)(shi)(shi)(shi)(shi)(shi)(shi)(shi)(shi)道(dao)(dao)(dao)、胃(wei)、腸(chang)(chang)(chang)、肝、膽等手(shou)(shou)(shou)(shou)(shou)(shou)(shou)(shou)(shou)(shou)(shou)術(shu)(shu)(shu)(shu)(shu)(shu)(shu)(shu)，但(dan)其中(zhong)有(you)些小手(shou)(shou)(shou)(shou)(shou)(shou)(shou)(shou)(shou)(shou)(shou)術(shu)(shu)(shu)(shu)(shu)(shu)(shu)(shu)如(ru)闌(lan)尾(wei)(wei)(wei)炎(yan)(yan)(yan)(yan)手(shou)(shou)(shou)(shou)(shou)(shou)(shou)(shou)(shou)(shou)(shou)術(shu)(shu)(shu)(shu)(shu)(shu)(shu)(shu)則(ze)在(zai)(zai)(zai)手(shou)(shou)(shou)(shou)(shou)(shou)(shou)(shou)(shou)(shou)(shou)術(shu)(shu)(shu)(shu)(shu)(shu)(shu)(shu) 后(hou)(hou)(hou)(hou)(hou)(hou)只需要(yao)(yao)(yao)禁(jin)食(shi)(shi)(shi)(shi)(shi)(shi)(shi)(shi)(shi)(shi)一天(tian)，第二天(tian)就(jiu)可(ke)(ke)(ke)(ke)(ke)給(gei)流(liu)(liu)(liu)(liu)食(shi)(shi)(shi)(shi)(shi)(shi)(shi)(shi)(shi)(shi)，第三天(tian)半(ban)(ban)流(liu)(liu)(liu)(liu)食(shi)(shi)(shi)(shi)(shi)(shi)(shi)(shi)(shi)(shi)，第五(wu)(wu)天(tian)即可(ke)(ke)(ke)(ke)(ke)給(gei)軟(ruan)(ruan)飯(fan)；肛(gang)門(men)(men)直腸(chang)(chang)(chang)手(shou)(shou)(shou)(shou)(shou)(shou)(shou)(shou)(shou)(shou)(shou)術(shu)(shu)(shu)(shu)(shu)(shu)(shu)(shu)則(ze)須林禁(jin) 食(shi)(shi)(shi)(shi)(shi)(shi)(shi)(shi)(shi)(shi)2-3天(tian)，以(yi)(yi)(yi)(yi)(yi)(yi)(yi)(yi)后(hou)(hou)(hou)(hou)(hou)(hou)給(gei)予(yu)清(qing)流(liu)(liu)(liu)(liu)質(zhi)(zhi)(zhi)、少(shao)(shao)渣(zha)半(ban)(ban)流(liu)(liu)(liu)(liu)質(zhi)(zhi)(zhi)。飲(yin)(yin)食(shi)(shi)(shi)(shi)(shi)(shi)(shi)(shi)(shi)(shi)中(zhong)限(xian)制(zhi)含(han)粗(cu)纖(xian)維(wei)素(su)(su)的(de)(de)(de)(de)(de)(de)食(shi)(shi)(shi)(shi)(shi)(shi)(shi)(shi)(shi)(shi)物(wu)(wu)(wu)，如(ru)芹菜、大(da)(da)(da)白菜、香菜、蒜(suan) 苗、韭菜、香椿、冬筍、毛筍、菠蘿等，以(yi)(yi)(yi)(yi)(yi)(yi)(yi)(yi)減(jian)(jian)少(shao)(shao)大(da)(da)(da)便(bian)次(ci)(ci)數(shu)和未消(xiao)(xiao)化(hua)的(de)(de)(de)(de)(de)(de)粗(cu)纖(xian)維(wei)對傷(shang)口(kou)的(de)(de)(de)(de)(de)(de)磨擦(ca)；口(kou)腔咽喉 部(bu)(bu)手(shou)(shou)(shou)(shou)(shou)(shou)(shou)(shou)(shou)(shou)(shou)術(shu)(shu)(shu)(shu)(shu)(shu)(shu)(shu)，手(shou)(shou)(shou)(shou)(shou)(shou)(shou)(shou)(shou)(shou)(shou)術(shu)(shu)(shu)(shu)(shu)(shu)(shu)(shu)后(hou)(hou)(hou)(hou)(hou)(hou)6小時(shi)(shi)(shi)(shi)內(nei)禁(jin)食(shi)(shi)(shi)(shi)(shi)(shi)(shi)(shi)(shi)(shi)，在(zai)(zai)(zai)1-2天(tian)內(nei)禁(jin)食(shi)(shi)(shi)(shi)(shi)(shi)(shi)(shi)(shi)(shi)熱(re)流(liu)(liu)(liu)(liu)質(zhi)(zhi)(zhi)，應(ying)(ying)(ying)(ying)(ying)(ying)以(yi)(yi)(yi)(yi)(yi)(yi)(yi)(yi)冷流(liu)(liu)(liu)(liu)質(zhi)(zhi)(zhi)為主(zhu)。
闌尾炎手術是有一些后遺癥的，那么闌尾炎手術后遺癥有哪些呢？
闌尾炎手術在術后容易感染，這個也是最常見的并發癥。一般在感染后會伴有化膿的癥狀，很多人是因為闌尾穿孔才選擇去做手術，但是這類患者感染的幾率是最大的。在感染后必須要有效抗感染，而且傷口必須要經常沖洗，否則很容易出血，清洗干凈后也要用毛巾擦干，這樣可以降低術后感染的風險。
出血(xue)也(ye)(ye)是闌(lan)尾(wei)(wei)術后(hou)(hou)(hou)的(de)后(hou)(hou)(hou)遺癥，出血(xue)的(de)原因(yin)主要(yao)是闌(lan)尾(wei)(wei)系膜的(de)結扎線松脫(tuo)引(yin)起的(de)，脫(tuo)落之后(hou)(hou)(hou)對女性的(de)子宮內膜也(ye)(ye)會(hui)(hui)有很大的(de)損傷(shang)，所以此時(shi)出血(xue)量會(hui)(hui)比較大，期間也(ye)(ye)會(hui)(hui)經常(chang)腹痛，甚至會(hui)(hui)伴有腹脹和不(bu)易消化的(de)癥狀(zhuang)。闌(lan)尾(wei)(wei)炎在術后(hou)(hou)(hou)大出血(xue)還會(hui)(hui)發生休(xiu)克，休(xiu)克后(hou)(hou)(hou)患者也(ye)(ye)會(hui)(hui)昏迷不(bu)醒。
單(dan)(dan)純性(xing)(xing)(xing)(xing)急(ji)性(xing)(xing)(xing)(xing)闌(lan)(lan)(lan)(lan)(lan)(lan)(lan)(lan)(lan)(lan)(lan)尾(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)炎(yan)(yan)(yan)(yan)(yan)采用(yong)(yong)(yong)(yong)(yong)非手(shou)(shou)(shou)(shou)術(shu)(shu)(shu)(shu)(shu)(shu)(shu)(shu)(shu)療法(fa)(fa)，多(duo)數病(bing)人(ren)(ren)可(ke)(ke)(ke)(ke)治(zhi)愈(yu)，但遺有(you)(you)慢性(xing)(xing)(xing)(xing)炎(yan)(yan)(yan)(yan)(yan)癥(zheng)(zheng)或(huo)(huo)(huo)(huo)管(guan)腔(qiang)(qiang)(qiang)狹小者易(yi)于(yu)(yu)復發(fa)(fa)，所以急(ji)性(xing)(xing)(xing)(xing)闌(lan)(lan)(lan)(lan)(lan)(lan)(lan)(lan)(lan)(lan)(lan)尾(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)炎(yan)(yan)(yan)(yan)(yan)一(yi)(yi)(yi)旦(dan)診(zhen)(zhen)斷明(ming)確(que)(que)(que)，仍應(ying)(ying)(ying)(ying)(ying)(ying)急(ji)診(zhen)(zhen)手(shou)(shou)(shou)(shou)術(shu)(shu)(shu)(shu)(shu)(shu)(shu)(shu)(shu)將(jiang)病(bing)變的(de)(de)闌(lan)(lan)(lan)(lan)(lan)(lan)(lan)(lan)(lan)(lan)(lan)尾(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)切(qie)(qie)(qie)(qie)(qie)(qie)(qie)(qie)(qie)除(chu)(chu)(chu)(chu)。妊娠期(qi)(qi)(qi)因盆腔(qiang)(qiang)(qiang)充血，闌(lan)(lan)(lan)(lan)(lan)(lan)(lan)(lan)(lan)(lan)(lan)尾(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)炎(yan)(yan)(yan)(yan)(yan)癥(zheng)(zheng)發(fa)(fa)展(zhan)更(geng)快(kuai)，所以也(ye)(ye)(ye)應(ying)(ying)(ying)(ying)(ying)(ying)及時(shi)(shi)(shi)(shi)手(shou)(shou)(shou)(shou)術(shu)(shu)(shu)(shu)(shu)(shu)(shu)(shu)(shu)。診(zhen)(zhen)斷不明(ming)者，若(ruo)病(bing)人(ren)(ren)有(you)(you)局部(bu)(bu)腹(fu)(fu)(fu)(fu)(fu)(fu)膜(mo)(mo)(mo)(mo)炎(yan)(yan)(yan)(yan)(yan)表(biao)現或(huo)(huo)(huo)(huo)全身感(gan)染(ran)證明(ming)顯(xian)(xian)，也(ye)(ye)(ye)應(ying)(ying)(ying)(ying)(ying)(ying)開(kai)(kai)腹(fu)(fu)(fu)(fu)(fu)(fu)檢(jian)查(cha)(cha)，以免延(yan)誤治(zhi)療。術(shu)(shu)(shu)(shu)(shu)(shu)(shu)(shu)(shu)中(zhong)(zhong)若(ruo)發(fa)(fa)現闌(lan)(lan)(lan)(lan)(lan)(lan)(lan)(lan)(lan)(lan)(lan)尾(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)無(wu)急(ji)性(xing)(xing)(xing)(xing)炎(yan)(yan)(yan)(yan)(yan)癥(zheng)(zheng)表(biao)現，則應(ying)(ying)(ying)(ying)(ying)(ying)探(tan)查(cha)(cha)有(you)(you)無(wu)其他(ta)急(ji)性(xing)(xing)(xing)(xing)病(bing)變。病(bing)人(ren)(ren)就診(zhen)(zhen)時(shi)(shi)(shi)(shi)若(ruo)闌(lan)(lan)(lan)(lan)(lan)(lan)(lan)(lan)(lan)(lan)(lan)尾(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)炎(yan)(yan)(yan)(yan)(yan)已(yi)形(xing)成周(zhou)圍(wei)膿腫(zhong)(zhong)(zhong)(zhong)(zhong)，應(ying)(ying)(ying)(ying)(ying)(ying)先行(xing)非手(shou)(shou)(shou)(shou)術(shu)(shu)(shu)(shu)(shu)(shu)(shu)(shu)(shu)治(zhi)療，膿腫(zhong)(zhong)(zhong)(zhong)(zhong)吸(xi)收后，過3個月或(huo)(huo)(huo)(huo)半年再(zai)(zai)切(qie)(qie)(qie)(qie)(qie)(qie)(qie)(qie)(qie)除(chu)(chu)(chu)(chu)闌(lan)(lan)(lan)(lan)(lan)(lan)(lan)(lan)(lan)(lan)(lan)尾(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)。 1.手(shou)(shou)(shou)(shou)術(shu)(shu)(shu)(shu)(shu)(shu)(shu)(shu)(shu)治(zhi)療 絕大(da)多(duo)數急(ji)性(xing)(xing)(xing)(xing)闌(lan)(lan)(lan)(lan)(lan)(lan)(lan)(lan)(lan)(lan)(lan)尾(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)炎(yan)(yan)(yan)(yan)(yan)一(yi)(yi)(yi)旦(dan)確(que)(que)(que)診(zhen)(zhen)，應(ying)(ying)(ying)(ying)(ying)(ying)早期(qi)(qi)(qi)施行(xing)闌(lan)(lan)(lan)(lan)(lan)(lan)(lan)(lan)(lan)(lan)(lan)尾(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)切(qie)(qie)(qie)(qie)(qie)(qie)(qie)(qie)(qie)除(chu)(chu)(chu)(chu)術(shu)(shu)(shu)(shu)(shu)(shu)(shu)(shu)(shu)(appendecto-my)。早期(qi)(qi)(qi)手(shou)(shou)(shou)(shou)術(shu)(shu)(shu)(shu)(shu)(shu)(shu)(shu)(shu)系(xi)(xi)(xi)指闌(lan)(lan)(lan)(lan)(lan)(lan)(lan)(lan)(lan)(lan)(lan)尾(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)炎(yan)(yan)(yan)(yan)(yan)癥(zheng)(zheng)還處(chu)(chu)于(yu)(yu)管(guan)腔(qiang)(qiang)(qiang)阻塞或(huo)(huo)(huo)(huo)僅有(you)(you)充血水腫(zhong)(zhong)(zhong)(zhong)(zhong)時(shi)(shi)(shi)(shi)就手(shou)(shou)(shou)(shou)術(shu)(shu)(shu)(shu)(shu)(shu)(shu)(shu)(shu)切(qie)(qie)(qie)(qie)(qie)(qie)(qie)(qie)(qie)除(chu)(chu)(chu)(chu)，此(ci)時(shi)(shi)(shi)(shi)手(shou)(shou)(shou)(shou)術(shu)(shu)(shu)(shu)(shu)(shu)(shu)(shu)(shu)操作較簡易(yi)，術(shu)(shu)(shu)(shu)(shu)(shu)(shu)(shu)(shu)后并(bing)(bing)發(fa)(fa)癥(zheng)(zheng)少。如(ru)化膿壞疽或(huo)(huo)(huo)(huo)穿(chuan)孔(kong)(kong)后再(zai)(zai)手(shou)(shou)(shou)(shou)術(shu)(shu)(shu)(shu)(shu)(shu)(shu)(shu)(shu)，不但操作困難且(qie)術(shu)(shu)(shu)(shu)(shu)(shu)(shu)(shu)(shu)后并(bing)(bing)發(fa)(fa)癥(zheng)(zheng)會明(ming)顯(xian)(xian)增加(jia)。術(shu)(shu)(shu)(shu)(shu)(shu)(shu)(shu)(shu)前即(ji)應(ying)(ying)(ying)(ying)(ying)(ying)用(yong)(yong)(yong)(yong)(yong)抗(kang)(kang)(kang)生(sheng)素，有(you)(you)助(zhu)于(yu)(yu)防止術(shu)(shu)(shu)(shu)(shu)(shu)(shu)(shu)(shu)后感(gan)染(ran)的(de)(de)發(fa)(fa)生(sheng)。 (1)不同(tong)(tong)臨床類型急(ji)性(xing)(xing)(xing)(xing)闌(lan)(lan)(lan)(lan)(lan)(lan)(lan)(lan)(lan)(lan)(lan)尾(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)炎(yan)(yan)(yan)(yan)(yan)的(de)(de)手(shou)(shou)(shou)(shou)術(shu)(shu)(shu)(shu)(shu)(shu)(shu)(shu)(shu)方法(fa)(fa)選(xuan)擇(ze)(ze)亦不相同(tong)(tong)。 1)急(ji)性(xing)(xing)(xing)(xing)單(dan)(dan)純性(xing)(xing)(xing)(xing)闌(lan)(lan)(lan)(lan)(lan)(lan)(lan)(lan)(lan)(lan)(lan)尾(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)炎(yan)(yan)(yan)(yan)(yan):行(xing)闌(lan)(lan)(lan)(lan)(lan)(lan)(lan)(lan)(lan)(lan)(lan)尾(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)切(qie)(qie)(qie)(qie)(qie)(qie)(qie)(qie)(qie)除(chu)(chu)(chu)(chu)術(shu)(shu)(shu)(shu)(shu)(shu)(shu)(shu)(shu)，切(qie)(qie)(qie)(qie)(qie)(qie)(qie)(qie)(qie)口(kou)(kou)(kou)一(yi)(yi)(yi)期(qi)(qi)(qi)縫(feng)(feng)(feng)(feng)合(he)(he)(he)(he)。有(you)(you)條件(jian)的(de)(de)單(dan)(dan)位(wei)，也(ye)(ye)(ye)可(ke)(ke)(ke)(ke)采用(yong)(yong)(yong)(yong)(yong)經(jing)腹(fu)(fu)(fu)(fu)(fu)(fu)腔(qiang)(qiang)(qiang)鏡闌(lan)(lan)(lan)(lan)(lan)(lan)(lan)(lan)(lan)(lan)(lan)尾(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)切(qie)(qie)(qie)(qie)(qie)(qie)(qie)(qie)(qie)除(chu)(chu)(chu)(chu)術(shu)(shu)(shu)(shu)(shu)(shu)(shu)(shu)(shu)。 2)急(ji)性(xing)(xing)(xing)(xing)化膿性(xing)(xing)(xing)(xing)或(huo)(huo)(huo)(huo)壞疽性(xing)(xing)(xing)(xing)闌(lan)(lan)(lan)(lan)(lan)(lan)(lan)(lan)(lan)(lan)(lan)尾(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)炎(yan)(yan)(yan)(yan)(yan):行(xing)闌(lan)(lan)(lan)(lan)(lan)(lan)(lan)(lan)(lan)(lan)(lan)尾(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)切(qie)(qie)(qie)(qie)(qie)(qie)(qie)(qie)(qie)除(chu)(chu)(chu)(chu)術(shu)(shu)(shu)(shu)(shu)(shu)(shu)(shu)(shu)。腹(fu)(fu)(fu)(fu)(fu)(fu)腔(qiang)(qiang)(qiang)如(ru)有(you)(you)膿液(ye)，應(ying)(ying)(ying)(ying)(ying)(ying)仔(zi)細清除(chu)(chu)(chu)(chu)，用(yong)(yong)(yong)(yong)(yong)濕紗(sha)布蘸(zhan)凈膿液(ye)后關(guan)腹(fu)(fu)(fu)(fu)(fu)(fu)。注(zhu)意保護切(qie)(qie)(qie)(qie)(qie)(qie)(qie)(qie)(qie)口(kou)(kou)(kou)，一(yi)(yi)(yi)期(qi)(qi)(qi)縫(feng)(feng)(feng)(feng)合(he)(he)(he)(he)。 3)穿(chuan)孔(kong)(kong)性(xing)(xing)(xing)(xing)闌(lan)(lan)(lan)(lan)(lan)(lan)(lan)(lan)(lan)(lan)(lan)尾(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)炎(yan)(yan)(yan)(yan)(yan):宜(yi)采用(yong)(yong)(yong)(yong)(yong)右(you)下(xia)腹(fu)(fu)(fu)(fu)(fu)(fu)經(jing)腹(fu)(fu)(fu)(fu)(fu)(fu)直肌(ji)(ji)切(qie)(qie)(qie)(qie)(qie)(qie)(qie)(qie)(qie)口(kou)(kou)(kou)，利(li)于(yu)(yu)術(shu)(shu)(shu)(shu)(shu)(shu)(shu)(shu)(shu)中(zhong)(zhong)探(tan)查(cha)(cha)和(he)(he)確(que)(que)(que)診(zhen)(zhen)，切(qie)(qie)(qie)(qie)(qie)(qie)(qie)(qie)(qie)除(chu)(chu)(chu)(chu)闌(lan)(lan)(lan)(lan)(lan)(lan)(lan)(lan)(lan)(lan)(lan)尾(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)，清除(chu)(chu)(chu)(chu)腹(fu)(fu)(fu)(fu)(fu)(fu)腔(qiang)(qiang)(qiang)膿液(ye)或(huo)(huo)(huo)(huo)沖洗(xi)腹(fu)(fu)(fu)(fu)(fu)(fu)腔(qiang)(qiang)(qiang)，根(gen)(gen)據(ju)情(qing)況放置腹(fu)(fu)(fu)(fu)(fu)(fu)腔(qiang)(qiang)(qiang)引(yin)(yin)流。術(shu)(shu)(shu)(shu)(shu)(shu)(shu)(shu)(shu)中(zhong)(zhong)注(zhu)意保護切(qie)(qie)(qie)(qie)(qie)(qie)(qie)(qie)(qie)口(kou)(kou)(kou)，沖洗(xi)切(qie)(qie)(qie)(qie)(qie)(qie)(qie)(qie)(qie)口(kou)(kou)(kou)，一(yi)(yi)(yi)期(qi)(qi)(qi)縫(feng)(feng)(feng)(feng)合(he)(he)(he)(he)。術(shu)(shu)(shu)(shu)(shu)(shu)(shu)(shu)(shu)后注(zhu)意觀察(cha)切(qie)(qie)(qie)(qie)(qie)(qie)(qie)(qie)(qie)口(kou)(kou)(kou)，有(you)(you)感(gan)染(ran)時(shi)(shi)(shi)(shi)及時(shi)(shi)(shi)(shi)引(yin)(yin)流。 4)闌(lan)(lan)(lan)(lan)(lan)(lan)(lan)(lan)(lan)(lan)(lan)尾(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)周(zhou)圍(wei)膿腫(zhong)(zhong)(zhong)(zhong)(zhong):闌(lan)(lan)(lan)(lan)(lan)(lan)(lan)(lan)(lan)(lan)(lan)尾(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)膿腫(zhong)(zhong)(zhong)(zhong)(zhong)尚未破潰(kui)穿(chuan)孔(kong)(kong)時(shi)(shi)(shi)(shi)應(ying)(ying)(ying)(ying)(ying)(ying)按急(ji)性(xing)(xing)(xing)(xing)化膿性(xing)(xing)(xing)(xing)闌(lan)(lan)(lan)(lan)(lan)(lan)(lan)(lan)(lan)(lan)(lan)尾(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)炎(yan)(yan)(yan)(yan)(yan)處(chu)(chu)理(li)(li)。如(ru)闌(lan)(lan)(lan)(lan)(lan)(lan)(lan)(lan)(lan)(lan)(lan)尾(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)穿(chuan)孔(kong)(kong)已(yi)被包(bao)(bao)(bao)裹(guo)形(xing)成闌(lan)(lan)(lan)(lan)(lan)(lan)(lan)(lan)(lan)(lan)(lan)尾(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)周(zhou)圍(wei)膿腫(zhong)(zhong)(zhong)(zhong)(zhong)，病(bing)情(qing)較穩定，宜(yi)應(ying)(ying)(ying)(ying)(ying)(ying)用(yong)(yong)(yong)(yong)(yong)抗(kang)(kang)(kang)生(sheng)素治(zhi)療或(huo)(huo)(huo)(huo)同(tong)(tong)時(shi)(shi)(shi)(shi)聯合(he)(he)(he)(he)中(zhong)(zhong)藥治(zhi)療促進膿腫(zhong)(zhong)(zhong)(zhong)(zhong)吸(xi)收消退，也(ye)(ye)(ye)可(ke)(ke)(ke)(ke)在(zai)(zai)超聲引(yin)(yin)導下(xia)穿(chuan)刺抽膿或(huo)(huo)(huo)(huo)置管(guan)引(yin)(yin)流。如(ru)膿腫(zhong)(zhong)(zhong)(zhong)(zhong)擴大(da)，無(wu)局限(xian)趨勢，宜(yi)先行(xing)B超檢(jian)查(cha)(cha)，確(que)(que)(que)定切(qie)(qie)(qie)(qie)(qie)(qie)(qie)(qie)(qie)口(kou)(kou)(kou)部(bu)(bu)位(wei)后行(xing)手(shou)(shou)(shou)(shou)術(shu)(shu)(shu)(shu)(shu)(shu)(shu)(shu)(shu)切(qie)(qie)(qie)(qie)(qie)(qie)(qie)(qie)(qie)開(kai)(kai)引(yin)(yin)流。切(qie)(qie)(qie)(qie)(qie)(qie)(qie)(qie)(qie)開(kai)(kai)引(yin)(yin)流以引(yin)(yin)流為主。如(ru)闌(lan)(lan)(lan)(lan)(lan)(lan)(lan)(lan)(lan)(lan)(lan)尾(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)顯(xian)(xian)露(lu)方便，也(ye)(ye)(ye)應(ying)(ying)(ying)(ying)(ying)(ying)切(qie)(qie)(qie)(qie)(qie)(qie)(qie)(qie)(qie)除(chu)(chu)(chu)(chu)闌(lan)(lan)(lan)(lan)(lan)(lan)(lan)(lan)(lan)(lan)(lan)尾(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)，闌(lan)(lan)(lan)(lan)(lan)(lan)(lan)(lan)(lan)(lan)(lan)尾(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)根(gen)(gen)部(bu)(bu)完整者施單(dan)(dan)純結(jie)(jie)(jie)扎(zha)(zha)。如(ru)闌(lan)(lan)(lan)(lan)(lan)(lan)(lan)(lan)(lan)(lan)(lan)尾(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)根(gen)(gen)部(bu)(bu)壞疽穿(chuan)孔(kong)(kong)，可(ke)(ke)(ke)(ke)行(xing)U字(zi)縫(feng)(feng)(feng)(feng)合(he)(he)(he)(he)關(guan)閉闌(lan)(lan)(lan)(lan)(lan)(lan)(lan)(lan)(lan)(lan)(lan)尾(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)開(kai)(kai)口(kou)(kou)(kou)的(de)(de)盲(mang)(mang)(mang)腸(chang)(chang)壁(bi)。術(shu)(shu)(shu)(shu)(shu)(shu)(shu)(shu)(shu)后加(jia)強支持(chi)治(zhi)療，合(he)(he)(he)(he)理(li)(li)使用(yong)(yong)(yong)(yong)(yong)抗(kang)(kang)(kang)生(sheng)素。 (2)闌(lan)(lan)(lan)(lan)(lan)(lan)(lan)(lan)(lan)(lan)(lan)尾(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)切(qie)(qie)(qie)(qie)(qie)(qie)(qie)(qie)(qie)除(chu)(chu)(chu)(chu)術(shu)(shu)(shu)(shu)(shu)(shu)(shu)(shu)(shu)的(de)(de)技術(shu)(shu)(shu)(shu)(shu)(shu)(shu)(shu)(shu)要(yao)點: 1)麻(ma)醉:一(yi)(yi)(yi)般(ban)(ban)采用(yong)(yong)(yong)(yong)(yong)硬脊膜(mo)(mo)(mo)(mo)外麻(ma)醉，也(ye)(ye)(ye)可(ke)(ke)(ke)(ke)采用(yong)(yong)(yong)(yong)(yong)局部(bu)(bu)麻(ma)醉。 2)切(qie)(qie)(qie)(qie)(qie)(qie)(qie)(qie)(qie)口(kou)(kou)(kou)選(xuan)擇(ze)(ze):一(yi)(yi)(yi)般(ban)(ban)情(qing)況下(xia)宜(yi)采用(yong)(yong)(yong)(yong)(yong)右(you)下(xia)腹(fu)(fu)(fu)(fu)(fu)(fu)麥(mai)氏切(qie)(qie)(qie)(qie)(qie)(qie)(qie)(qie)(qie)口(kou)(kou)(kou)(McBurney切(qie)(qie)(qie)(qie)(qie)(qie)(qie)(qie)(qie)口(kou)(kou)(kou))或(huo)(huo)(huo)(huo)橫切(qie)(qie)(qie)(qie)(qie)(qie)(qie)(qie)(qie)口(kou)(kou)(kou)。如(ru)診(zhen)(zhen)斷不明(ming)確(que)(que)(que)或(huo)(huo)(huo)(huo)腹(fu)(fu)(fu)(fu)(fu)(fu)膜(mo)(mo)(mo)(mo)炎(yan)(yan)(yan)(yan)(yan)較廣泛應(ying)(ying)(ying)(ying)(ying)(ying)采用(yong)(yong)(yong)(yong)(yong)右(you)下(xia)腹(fu)(fu)(fu)(fu)(fu)(fu)經(jing)腹(fu)(fu)(fu)(fu)(fu)(fu)直肌(ji)(ji)探(tan)查(cha)(cha)切(qie)(qie)(qie)(qie)(qie)(qie)(qie)(qie)(qie)口(kou)(kou)(kou)，以便術(shu)(shu)(shu)(shu)(shu)(shu)(shu)(shu)(shu)中(zhong)(zhong)進一(yi)(yi)(yi)步探(tan)查(cha)(cha)和(he)(he)清除(chu)(chu)(chu)(chu)膿液(ye)。切(qie)(qie)(qie)(qie)(qie)(qie)(qie)(qie)(qie)口(kou)(kou)(kou)應(ying)(ying)(ying)(ying)(ying)(ying)加(jia)以保護，防止被污染(ran)。 3)尋找闌(lan)(lan)(lan)(lan)(lan)(lan)(lan)(lan)(lan)(lan)(lan)尾(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei):部(bu)(bu)分(fen)病(bing)人(ren)(ren)闌(lan)(lan)(lan)(lan)(lan)(lan)(lan)(lan)(lan)(lan)(lan)尾(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)就在(zai)(zai)切(qie)(qie)(qie)(qie)(qie)(qie)(qie)(qie)(qie)口(kou)(kou)(kou)下(xia)，容(rong)易(yi)顯(xian)(xian)露(lu)。沿(yan)結(jie)(jie)(jie)腸(chang)(chang)帶向盲(mang)(mang)(mang)腸(chang)(chang)頂端(duan)(duan)追蹤，即(ji)能找到闌(lan)(lan)(lan)(lan)(lan)(lan)(lan)(lan)(lan)(lan)(lan)尾(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)。如(ru)仍未找到闌(lan)(lan)(lan)(lan)(lan)(lan)(lan)(lan)(lan)(lan)(lan)尾(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)，應(ying)(ying)(ying)(ying)(ying)(ying)考(kao)慮可(ke)(ke)(ke)(ke)能為盲(mang)(mang)(mang)腸(chang)(chang)后位(wei)闌(lan)(lan)(lan)(lan)(lan)(lan)(lan)(lan)(lan)(lan)(lan)尾(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)，用(yong)(yong)(yong)(yong)(yong)手(shou)(shou)(shou)(shou)指探(tan)查(cha)(cha)盲(mang)(mang)(mang)腸(chang)(chang)后方，或(huo)(huo)(huo)(huo)者剪開(kai)(kai)盲(mang)(mang)(mang)腸(chang)(chang)外側腹(fu)(fu)(fu)(fu)(fu)(fu)膜(mo)(mo)(mo)(mo)，將(jiang)盲(mang)(mang)(mang)腸(chang)(chang)向內(nei)(nei)翻(fan)即(ji)可(ke)(ke)(ke)(ke)顯(xian)(xian)露(lu)盲(mang)(mang)(mang)腸(chang)(chang)后方的(de)(de)闌(lan)(lan)(lan)(lan)(lan)(lan)(lan)(lan)(lan)(lan)(lan)尾(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)。 4)處(chu)(chu)理(li)(li)闌(lan)(lan)(lan)(lan)(lan)(lan)(lan)(lan)(lan)(lan)(lan)尾(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)系(xi)(xi)(xi)膜(mo)(mo)(mo)(mo):用(yong)(yong)(yong)(yong)(yong)闌(lan)(lan)(lan)(lan)(lan)(lan)(lan)(lan)(lan)(lan)(lan)尾(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)鉗(qian)鉗(qian)夾闌(lan)(lan)(lan)(lan)(lan)(lan)(lan)(lan)(lan)(lan)(lan)尾(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)系(xi)(xi)(xi)膜(mo)(mo)(mo)(mo)，不要(yao)直接(jie)鉗(qian)夾闌(lan)(lan)(lan)(lan)(lan)(lan)(lan)(lan)(lan)(lan)(lan)尾(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)，將(jiang)闌(lan)(lan)(lan)(lan)(lan)(lan)(lan)(lan)(lan)(lan)(lan)尾(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)提(ti)起顯(xian)(xian)露(lu)系(xi)(xi)(xi)膜(mo)(mo)(mo)(mo)。如(ru)系(xi)(xi)(xi)膜(mo)(mo)(mo)(mo)菲薄，可(ke)(ke)(ke)(ke)用(yong)(yong)(yong)(yong)(yong)血管(guan)鉗(qian)貼闌(lan)(lan)(lan)(lan)(lan)(lan)(lan)(lan)(lan)(lan)(lan)尾(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)根(gen)(gen)部(bu)(bu)戳孔(kong)(kong)帶線(xian)(xian)(xian)一(yi)(yi)(yi)次集束結(jie)(jie)(jie)扎(zha)(zha)闌(lan)(lan)(lan)(lan)(lan)(lan)(lan)(lan)(lan)(lan)(lan)尾(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)系(xi)(xi)(xi)膜(mo)(mo)(mo)(mo)，包(bao)(bao)(bao)括(kuo)(kuo)闌(lan)(lan)(lan)(lan)(lan)(lan)(lan)(lan)(lan)(lan)(lan)尾(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)血管(guan)在(zai)(zai)內(nei)(nei)，再(zai)(zai)剪斷系(xi)(xi)(xi)膜(mo)(mo)(mo)(mo);如(ru)闌(lan)(lan)(lan)(lan)(lan)(lan)(lan)(lan)(lan)(lan)(lan)尾(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)系(xi)(xi)(xi)膜(mo)(mo)(mo)(mo)肥(fei)厚(hou)或(huo)(huo)(huo)(huo)較寬，一(yi)(yi)(yi)般(ban)(ban)應(ying)(ying)(ying)(ying)(ying)(ying)分(fen)次鉗(qian)夾、切(qie)(qie)(qie)(qie)(qie)(qie)(qie)(qie)(qie)斷結(jie)(jie)(jie)扎(zha)(zha)或(huo)(huo)(huo)(huo)縫(feng)(feng)(feng)(feng)扎(zha)(zha)系(xi)(xi)(xi)膜(mo)(mo)(mo)(mo)。闌(lan)(lan)(lan)(lan)(lan)(lan)(lan)(lan)(lan)(lan)(lan)尾(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)系(xi)(xi)(xi)膜(mo)(mo)(mo)(mo)結(jie)(jie)(jie)扎(zha)(zha)要(yao)確(que)(que)(que)實。 5)處(chu)(chu)理(li)(li)闌(lan)(lan)(lan)(lan)(lan)(lan)(lan)(lan)(lan)(lan)(lan)尾(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)根(gen)(gen)部(bu)(bu):在(zai)(zai)距(ju)盲(mang)(mang)(mang)腸(chang)(chang)0. 5 cm處(chu)(chu)用(yong)(yong)(yong)(yong)(yong)鉗(qian)輕輕鉗(qian)夾闌(lan)(lan)(lan)(lan)(lan)(lan)(lan)(lan)(lan)(lan)(lan)尾(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)后用(yong)(yong)(yong)(yong)(yong)絲線(xian)(xian)(xian)或(huo)(huo)(huo)(huo)腸(chang)(chang)線(xian)(xian)(xian)結(jie)(jie)(jie)扎(zha)(zha)闌(lan)(lan)(lan)(lan)(lan)(lan)(lan)(lan)(lan)(lan)(lan)尾(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)，再(zai)(zai)于(yu)(yu)結(jie)(jie)(jie)扎(zha)(zha)線(xian)(xian)(xian)遠(yuan)側0. 5 cm處(chu)(chu)切(qie)(qie)(qie)(qie)(qie)(qie)(qie)(qie)(qie)斷闌(lan)(lan)(lan)(lan)(lan)(lan)(lan)(lan)(lan)(lan)(lan)尾(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)，殘端(duan)(duan)用(yong)(yong)(yong)(yong)(yong)碘酒、酒精涂擦處(chu)(chu)理(li)(li)。于(yu)(yu)盲(mang)(mang)(mang)腸(chang)(chang)壁(bi)上(shang)(shang)(shang)縫(feng)(feng)(feng)(feng)荷(he)包(bao)(bao)(bao)線(xian)(xian)(xian)將(jiang)闌(lan)(lan)(lan)(lan)(lan)(lan)(lan)(lan)(lan)(lan)(lan)尾(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)殘端(duan)(duan)埋(mai)人(ren)(ren)。荷(he)包(bao)(bao)(bao)線(xian)(xian)(xian)縫(feng)(feng)(feng)(feng)合(he)(he)(he)(he)要(yao)點:距(ju)闌(lan)(lan)(lan)(lan)(lan)(lan)(lan)(lan)(lan)(lan)(lan)尾(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)根(gen)(gen)部(bu)(bu)結(jie)(jie)(jie)扎(zha)(zha)線(xian)(xian)(xian)1 cm左右(you)，勿將(jiang)闌(lan)(lan)(lan)(lan)(lan)(lan)(lan)(lan)(lan)(lan)(lan)尾(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)系(xi)(xi)(xi)膜(mo)(mo)(mo)(mo)縫(feng)(feng)(feng)(feng)人(ren)(ren)在(zai)(zai)內(nei)(nei)，針距(ju)約2-3 mm，縫(feng)(feng)(feng)(feng)在(zai)(zai)結(jie)(jie)(jie)腸(chang)(chang)帶上(shang)(shang)(shang)。荷(he)包(bao)(bao)(bao)縫(feng)(feng)(feng)(feng)合(he)(he)(he)(he)不宜(yi)過大(da)，防止腸(chang)(chang)壁(bi)內(nei)(nei)翻(fan)過多(duo)，形(xing)成死腔(qiang)(qiang)(qiang)。也(ye)(ye)(ye)可(ke)(ke)(ke)(ke)做(zuo)8字(zi)縫(feng)(feng)(feng)(feng)合(he)(he)(he)(he)，將(jiang)闌(lan)(lan)(lan)(lan)(lan)(lan)(lan)(lan)(lan)(lan)(lan)尾(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)殘端(duan)(duan)埋(mai)人(ren)(ren)同(tong)(tong)時(shi)(shi)(shi)(shi)結(jie)(jie)(jie)扎(zha)(zha)。最(zui)后，在(zai)(zai)無(wu)張力下(xia)再(zai)(zai)將(jiang)系(xi)(xi)(xi)膜(mo)(mo)(mo)(mo)綁(bang)扎(zha)(zha)在(zai)(zai)盲(mang)(mang)(mang)腸(chang)(chang)端(duan)(duan)縫(feng)(feng)(feng)(feng)線(xian)(xian)(xian)下(xia)覆(fu)蓋加(jia)固。近年來也(ye)(ye)(ye)有(you)(you)主張闌(lan)(lan)(lan)(lan)(lan)(lan)(lan)(lan)(lan)(lan)(lan)尾(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)根(gen)(gen)部(bu)(bu)單(dan)(dan)純結(jie)(jie)(jie)扎(zha)(zha)，不作荷(he)包(bao)(bao)(bao)埋(mai)人(ren)(ren) 縫(feng)(feng)(feng)(feng)合(he)(he)(he)(he)。 (3)特殊(shu)情(qing)況下(xia)闌(lan)(lan)(lan)(lan)(lan)(lan)(lan)(lan)(lan)(lan)(lan)尾(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)切(qie)(qie)(qie)(qie)(qie)(qie)(qie)(qie)(qie)除(chu)(chu)(chu)(chu)術(shu)(shu)(shu)(shu)(shu)(shu)(shu)(shu)(shu): 1)闌(lan)(lan)(lan)(lan)(lan)(lan)(lan)(lan)(lan)(lan)(lan)尾(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)尖端(duan)(duan)粘連(lian)固定，不能按常規方法(fa)(fa)切(qie)(qie)(qie)(qie)(qie)(qie)(qie)(qie)(qie)除(chu)(chu)(chu)(chu)闌(lan)(lan)(lan)(lan)(lan)(lan)(lan)(lan)(lan)(lan)(lan)尾(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)，可(ke)(ke)(ke)(ke)先將(jiang)闌(lan)(lan)(lan)(lan)(lan)(lan)(lan)(lan)(lan)(lan)(lan)尾(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)于(yu)(yu)根(gen)(gen)部(bu)(bu)結(jie)(jie)(jie)扎(zha)(zha)切(qie)(qie)(qie)(qie)(qie)(qie)(qie)(qie)(qie)斷，殘端(duan)(duan)處(chu)(chu)理(li)(li)后再(zai)(zai)分(fen)段切(qie)(qie)(qie)(qie)(qie)(qie)(qie)(qie)(qie)斷闌(lan)(lan)(lan)(lan)(lan)(lan)(lan)(lan)(lan)(lan)(lan)尾(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)系(xi)(xi)(xi)膜(mo)(mo)(mo)(mo)，最(zui)后切(qie)(qie)(qie)(qie)(qie)(qie)(qie)(qie)(qie)除(chu)(chu)(chu)(chu)整個闌(lan)(lan)(lan)(lan)(lan)(lan)(lan)(lan)(lan)(lan)(lan)尾(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)。此(ci)為闌(lan)(lan)(lan)(lan)(lan)(lan)(lan)(lan)(lan)(lan)(lan)尾(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)逆行(xing)切(qie)(qie)(qie)(qie)(qie)(qie)(qie)(qie)(qie)除(chu)(chu)(chu)(chu)法(fa)(fa)。 2)盲(mang)(mang)(mang)腸(chang)(chang)后位(wei)闌(lan)(lan)(lan)(lan)(lan)(lan)(lan)(lan)(lan)(lan)(lan)尾(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)，宜(yi)剪開(kai)(kai)側腹(fu)(fu)(fu)(fu)(fu)(fu)膜(mo)(mo)(mo)(mo)，將(jiang)盲(mang)(mang)(mang)腸(chang)(chang)向內(nei)(nei)翻(fan)，顯(xian)(xian)露(lu)闌(lan)(lan)(lan)(lan)(lan)(lan)(lan)(lan)(lan)(lan)(lan)尾(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)，直視下(xia)切(qie)(qie)(qie)(qie)(qie)(qie)(qie)(qie)(qie)除(chu)(chu)(chu)(chu)。再(zai)(zai)將(jiang)側腹(fu)(fu)(fu)(fu)(fu)(fu)膜(mo)(mo)(mo)(mo)縫(feng)(feng)(feng)(feng)合(he)(he)(he)(he)。 3)盲(mang)(mang)(mang)腸(chang)(chang)水腫(zhong)(zhong)(zhong)(zhong)(zhong)不宜(yi)用(yong)(yong)(yong)(yong)(yong)荷(he)包(bao)(bao)(bao)埋(mai)人(ren)(ren)縫(feng)(feng)(feng)(feng)合(he)(he)(he)(he)時(shi)(shi)(shi)(shi)，宜(yi)用(yong)(yong)(yong)(yong)(yong)8字(zi)或(huo)(huo)(huo)(huo)U字(zi)縫(feng)(feng)(feng)(feng)合(he)(he)(he)(he)，縫(feng)(feng)(feng)(feng)在(zai)(zai)結(jie)(jie)(jie)腸(chang)(chang)帶上(shang)(shang)(shang)，將(jiang)系(xi)(xi)(xi)膜(mo)(mo)(mo)(mo)一(yi)(yi)(yi)并(bing)(bing)結(jie)(jie)(jie)扎(zha)(zha)在(zai)(zai)縫(feng)(feng)(feng)(feng)線(xian)(xian)(xian)上(shang)(shang)(shang)。 4)局部(bu)(bu)滲出或(huo)(huo)(huo)(huo)膿液(ye)不多(duo)，用(yong)(yong)(yong)(yong)(yong)紗(sha)布多(duo)次蘸(zhan)凈，不要(yao)用(yong)(yong)(yong)(yong)(yong)鹽水沖洗(xi)，以防炎(yan)(yan)(yan)(yan)(yan)癥(zheng)(zheng)擴散。如(ru)已(yi)穿(chuan)孔(kong)(kong)，腹(fu)(fu)(fu)(fu)(fu)(fu)膜(mo)(mo)(mo)(mo)炎(yan)(yan)(yan)(yan)(yan)范(fan)圍(wei)大(da)，術(shu)(shu)(shu)(shu)(shu)(shu)(shu)(shu)(shu)中(zhong)(zhong)腹(fu)(fu)(fu)(fu)(fu)(fu)腔(qiang)(qiang)(qiang)滲出多(duo)，應(ying)(ying)(ying)(ying)(ying)(ying)徹底(di)清除(chu)(chu)(chu)(chu)腹(fu)(fu)(fu)(fu)(fu)(fu)腔(qiang)(qiang)(qiang)膿液(ye)或(huo)(huo)(huo)(huo)沖洗(xi)腹(fu)(fu)(fu)(fu)(fu)(fu)腔(qiang)(qiang)(qiang)并(bing)(bing)放置引(yin)(yin)流。 5)如(ru)合(he)(he)(he)(he)并(bing)(bing)移動盲(mang)(mang)(mang)腸(chang)(chang)，闌(lan)(lan)(lan)(lan)(lan)(lan)(lan)(lan)(lan)(lan)(lan)尾(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)切(qie)(qie)(qie)(qie)(qie)(qie)(qie)(qie)(qie)除(chu)(chu)(chu)(chu)后，應(ying)(ying)(ying)(ying)(ying)(ying)同(tong)(tong)時(shi)(shi)(shi)(shi)將(jiang)盲(mang)(mang)(mang)腸(chang)(chang)皺璧折疊(die)緊縮縫(feng)(feng)(feng)(feng)合(he)(he)(he)(he)。 2.急(ji)性(xing)(xing)(xing)(xing)闌(lan)(lan)(lan)(lan)(lan)(lan)(lan)(lan)(lan)(lan)(lan)尾(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)炎(yan)(yan)(yan)(yan)(yan)的(de)(de)非手(shou)(shou)(shou)(shou)術(shu)(shu)(shu)(shu)(shu)(shu)(shu)(shu)(shu)治(zhi)療 僅適用(yong)(yong)(yong)(yong)(yong)于(yu)(yu)單(dan)(dan)純性(xing)(xing)(xing)(xing)闌(lan)(lan)(lan)(lan)(lan)(lan)(lan)(lan)(lan)(lan)(lan)尾(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)炎(yan)(yan)(yan)(yan)(yan)及急(ji)性(xing)(xing)(xing)(xing)闌(lan)(lan)(lan)(lan)(lan)(lan)(lan)(lan)(lan)(lan)(lan)尾(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)(wei)炎(yan)(yan)(yan)(yan)(yan)的(de)(de)早期(qi)(qi)(qi)階段，病(bing)人(ren)(ren)不接(jie)受手(shou)(shou)(shou)(shou)術(shu)(shu)(shu)(shu)(shu)(shu)(shu)(shu)(shu)治(zhi)療或(huo)(huo)(huo)(huo)客觀條件(jian)不允許，或(huo)(huo)(huo)(huo)伴(ban)存其他(ta)嚴重器(qi)質性(xing)(xing)(xing)(xing)疾病(bing)有(you)(you)手(shou)(shou)(shou)(shou)術(shu)(shu)(shu)(shu)(shu)(shu)(shu)(shu)(shu)禁忌證者。主要(yao)措施包(bao)(bao)(bao)括(kuo)(kuo)選(xuan)擇(ze)(ze)有(you)(you)效的(de)(de)抗(kang)(kang)(kang)生(sheng)素和(he)(he)補液(ye)治(zhi)療。也(ye)(ye)(ye)可(ke)(ke)(ke)(ke)經(jing)肛(gang)門直腸(chang)(chang)內(nei)(nei)給(gei)予抗(kang)(kang)(kang)生(sheng)素栓劑。
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