[摘要] 目的 分析总结12例急性阑尾炎并发门静脉炎诊治的临床经验，为提高急性阑尾炎并发门静脉炎的临床诊治水平。 方法 对1991年至2003年我院收治急性阑尾炎3835例中并发门静脉炎12例病例进行分析总结。 结果 12例急性阑尾炎手术后并发门静脉炎的病人经置腹腔引流管、应用广谱抗生素、抗休克及支持治疗，平均治疗时间10 d，全部治愈，无并发症发生。 结论 手术和早期诊断是治疗急性阑尾炎并发门静脉炎的关键，是提高急性阑尾炎并发门静脉炎治愈率的主要措施。

    [关键词] 急性阑尾炎；门静脉炎；手术并发症

    Clinical analysis of 12 cases of acute appendicitis complicated with postoperative pyleophlebitis

    LIN Da-fu, TU Yong-jiu, GAO Chuan-wen

    (Department of General Surgery, No. 174th Hospital of PLA, Xiamen, 361003, China)

    Abstract: Objective To summarize and analyze the clinical experience in diagnosis and treatment of 12 cases of acute appendicitis complicated with postoperative pyleophlebitis so as to improve the level of diagnosis and treatment in acute appendicitis complicated with postoperative pyleophlebitis. Methods Clinical data of 12 cases of acute appendicitis complicated with postoperative pyleophlebitis out of 3835 patients with acute appendicitis admitted to our hospital from 1991 to 2003 were analyzed retrospectively. Results Recovery without complications was achieved in all the 12 patients with acute appendicitis complicated with postoperative pyleophlebitis after transabdominal drainage, treatment using broad spectrum antibiotics, countershock treatment, and support therapy. The average treatment time was 10 d. Conclusion Early diagnosis and surgical operation are the main method for the treatment of acute appendicitis complicated with postoperative pyleophlebitis. ......