[摘要] 目的：探讨非典型急性阑尾炎的临床特点，及对其手术治疗适应证进行分析。方法：回顾性分析本院经手术治疗确诊的32例非典型急性阑尾炎患者的临床资料，汇总数据进行临床分析。结果：本组患者术后均证实为非典型急性阑尾炎，其中单纯性阑尾炎5例、化脓性阑尾炎20例、坏疽性急性阑尾炎7例。术后出现并发症共4例，其中切口感染2例，肠梗阻1例，肠瘘1例。所有患者均手术成功，治愈出院。结论：充分掌握非典型急性阑尾炎的临床表现，早诊断，早治疗，可改善预后。

    [关键词] 非典型急性阑尾炎；手术；临床表现；分析

    [中图分类号] R000 [文献标识码] A [文章编号] 1674-4721(2012)01(b)-177-02

    Clinical analysis of 32 cases of patients with acute atypical appendicitis

    ZHOU Mingyi

    Department of Inpatient Surgery, People's Hospital of Zhongkai District of Huizhou City in Guangdong Province, Huizhou 516229, China

    [Abstract] Objective: To explore clinical performance in acute atypical appendicitis, and to analyze the corresponding operation indication. Methods: The clinical data of 32 cases of patients with surgical diagnosis of acute atypical appendicitis in our hospital were collected and analyzed retrospectively. Result: All the patients were proved to be acute atypical appendicitis after surgery. Among them, 20 cases were suppurated appendicitis, 7 cases were gangrened appendicitis, 5 cases were simple appendicitis. After surgery, 4 cases were suffered from complications, among them, 2 cases with incision infection, 1 case with ileus, 1 case with intestinal fistula. All the operation were successful, and patients were recovery and left hospital. Conclusion: Fully understanding of clinical performance in acute atypical appendicitis, early diagnose and treatment, help to improve prognosis. ......