Silczuk J, Jamski J, Cichoń S
Wiad Lek. 1989 May 15;42(10):649-52.
Among acute diseases of the abdominal organs acute appendicitis is the most frequent cause of emergency laparotomies. In women the most frequent cause of preoperative diagnostic errors are diseases of the reproductive system. The material analysed by the authors was a group of 865 patients operated on with the diagnosis of acute appendicitis in the I Department of Surgery in the period 1964-1973 and in the III Department of Surgery, Medical Academy in Cracow in the years 1974-1986. In this material from two teaching hospital departments and from two different time periods similar proportions of diagnostic errors (12.7% and 13.4%) were found, and during the operation similar types of pathological changes were noted in the reproductive system. The authors stress the analysed diagnostic difficulties and point out that exploratory laparotomy is safest for the patient.
在腹部器官的急性疾病中，急性阑尾炎是急诊剖腹手术最常见的病因。在女性患者中，术前诊断错误最常见的原因是生殖系统疾病。作者分析的资料是一组865例患者，他们于1964年至1973年在第一外科接受急性阑尾炎诊断手术，1974年至1986年在克拉科夫医学院第三外科接受手术。在来自两个教学医院科室且处于两个不同时间段的这份资料中，发现诊断错误的比例相似（分别为12.7%和13.4%），并且在手术中，生殖系统出现了相似类型的病理变化。作者强调了所分析的诊断困难，并指出剖腹探查术对患者来说是最安全的。
