CT引导下经皮穿刺引流治疗危重阑尾脓肿患者

Percutaneous Drainage Using CT Guidance for Treatment of Appendiceal Abscesses in Critically Ill Patients<?xml:namespace prefix = o ns = "urn:schemas-microsoft-com:office:office" />

潘杰　孙革利　金征宇
中国医学科学院　中国协和医科大学
北京协和医院放射科，北京 100730

　　　　　　　　　　　　　　ABSTRACT
　　Objective：To evaluate the clinical value of percutaneous drainage using CT guidance for the treatment of appendiceal abscesses in critically ill patients.
　　Methods：8 critically ill patients with appendiceal abscesses in high surgical risk , underwent percutaneous dainage using CT guidance. The change of clinical symptoms, signs and blood WBC counting was observed. Results:  There was resolution of clinical symptoms and signs within 4 -12 hours in all 8 patients. No severve complications occured.
　　Conclusion：Percutaneous drainage using CT guidance plays an important role in treatment of critically ill patients with appendiceal abscesses.
　　Key words：Appendiceal Abscess; Radiology, Interventional; Tomography, X-ray Computed

　　临床上，阑尾脓肿可以选择多种治疗方法，但究竟哪种方法更为安全、有效，目前还存有争议^[1,2]。笔者报告8例CT引导下经皮穿刺引流治疗危重阑尾脓肿患者，结合文献复习，就CT引导下经皮穿刺引流治疗危重阑尾脓肿患者谈一点笔者的体会，供同行参考。