Owing to the fact that the postoperative course of simple acute appendicitis is always uneventful,the rationality of home-care after appendectomy has been considered.100 random cases were collected on the following criteria,age above 4 years,history shorter than 24 heurs,general condition good and free from toxic symptoms,localized tenderness in R.L.Q.without distension,no mass by either rectal or abdominal examination,and no gross perforation of appendix or frank pus found in peritoneal cavity at operation.All cases met the above criteria were admitted and treated under the following regimen including:free from bed,eral feeding and oral medication,no infusion or injection,imitating the home-life care according to the age.Another 116 random cases of the sanle criteria were admitted as controls,but treated under the conventional inpatient regimen in eluding:I.v.drip for a day or two,antibiotics for a week,and routine hospital nursing care until discharge.All the 216 cases were discharged uneventfully.There was no significant difference between these 2 groups.The conclusion is naturally that the simple and early acute appendicitis in children would be better sent home after appendectomy to enjoy the family care.It is not only good for mother and child,but also good for the hospital and society in solving the shortage of the pediatric surgical beds.%作者报告采用模拟门诊治疗,前瞻性观察急性阑尾炎未穿孔的100例患儿,并与同期同祥条件常规住院治疗的116例阑尾炎相比较,说明该类息儿术后出院,在门诊继续治疗是可行的,并且是安全可靠的.
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