【摘要】 目的 探讨持续硬膜外麻醉下胆囊切除术后急性阑尾炎发病原因及临床诊断和治疗。方法 总结38例病例临床资料，从病因、诊断及治疗等方面进行分析。结果 38例均经手术治疗，术后10天内痊愈出院。结论 持续硬膜外麻醉效果不满意是术后急性阑尾炎发病的主要原因，手术创伤本身及胆囊切除术后肠道功能紊乱次之。 术后急性阑尾炎一经诊断，常规阑尾切除术治疗效果满意。

    【关键词】 硬膜外麻醉；胆囊切除术；急性阑尾炎

    【Abstract】 Objective To investigate the pathogeny and clinical diagnosis and treatment of acute appendicitis occured post-cholecystectomy under epidural anesthesia.Methods The data of 38 cases were analyzed and summerized in respects of pathogeny,clinical diagnosis and treatment.Results All of 38 cases were treated by routine appendectomy,and got well,be discharged from hospital in 10 days after appendectomy.Conclusion The major recause of acute appendicitis after operations is dyssatisfied effects of epidural anesthesia, the injury of operations and the gastrointestinal dysfunction after cholecystectomy take the seconed place.Once the diagnosis of acute appendicitis is made,the effects of routine appendectomy would be satisfied.

    【Key words】 epidural anesthesia；post-cholecystectomy;acute appendicitis

    持续硬膜外麻醉下胆囊切除术后急性阑尾炎是外科少见急症 ......