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[关于阑尾炎问题的未解决和有争议的问题]

[Unresolved and debatable questions on the problem of appendicitis].

作者信息

Zagurov G

出版信息

Khirurgiia (Sofiia). 1989;42(4):43-7.

PMID:2585981
Abstract

On the basis of histomorphologic examination of: 9907 biopsy specimens from appendix, obtained after its surgical removal because of appendicitis, 228 cases of senile involution of the appendix and appendix specimens from 125 children 30 days to 8 years of age who had been immunized with BCG vaccine intracutaneously and have died of miscellaneous diseases, the author debates on some poorly specified and moot points in the appendicitis problem. Appendicitis is sometimes considered a phase and in other cases a form of the disease. It is assumed that chronic appendicitis, as well as primary chronic appendicitis not preceded by acute inflammatory changes in the appendix, do exist. Sufficient morphologic criteria to distinguish chronic appendicitis from senile involution of the appendix are believed to exist.

摘要

基于对以下标本的组织形态学检查

9907份因阑尾炎手术切除的阑尾活检标本、228例阑尾老年性退化标本以及125例30天至8岁儿童的阑尾标本(这些儿童曾接受卡介苗皮内接种,后死于各种疾病),作者对阑尾炎问题中一些定义不明确且有争议的要点进行了讨论。阑尾炎有时被视为疾病的一个阶段,有时又被看作一种疾病形式。人们认为慢性阑尾炎,以及阑尾无急性炎症改变之前的原发性慢性阑尾炎确实存在。人们相信存在足以区分慢性阑尾炎与阑尾老年性退化的形态学标准。

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