Gibney E J, Ajayi N, Leader M, Bouchier-Hayes D
Department of Surgery, Beaumont Hospital, Dublin.
Ir J Med Sci. 1992 Apr;161(4):101-4. doi: 10.1007/BF02983758.
A retrospective study of emergency appendicectomy over a one-year period at Beaumont Hospital was carried out. The overall normal appendicectomy rate was 22.8%, and was twice as high in women (31%) as in men (15%). Gangrenous or perforated appendicitis was present in 20% of cases. The overall mean assessment-surgery interval was 16.7 hours. Considerable variation in the use of antimicrobial agents was noted in the study, and many haematological and radiological investigations performed did not appear to improve diagnostic accuracy. Among patients with clinical features typical of appendicitis, 16% proved to have a normal appendix. These results point to a number of aspects of the diagnosis and management of appendicitis where there appears to be room for future improvement.
对博蒙特医院一年期间的急诊阑尾切除术进行了一项回顾性研究。阑尾正常的总体切除率为22.8%，女性（31%）是男性（15%）的两倍。20%的病例存在坏疽性或穿孔性阑尾炎。评估至手术的总体平均间隔时间为16.7小时。研究中注意到抗菌药物的使用存在很大差异，并且许多进行的血液学和放射学检查似乎并未提高诊断准确性。在具有典型阑尾炎临床特征的患者中，16%的患者阑尾正常。这些结果指出了阑尾炎诊断和治疗的一些方面，未来似乎还有改进的空间。
