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[降低急性阑尾炎死亡率的方法]

[Means of reducing mortality in acute appendicitis].

作者信息

Mazurik M F, Karnaukh V D, Mazurik S M, Demianiuk D G, Rudyĭ M A

出版信息

Khirurgiia (Mosk). 1989 Feb(2):13-7.

PMID:2709705
Abstract

The results of operative interventions conducted for acute appendicitis in 81,656 patients are analysed. Postoperative mortality reduced from 0.2 to 0.08% in the last decade. Peritonitis and intraabdominal abscesses accounted for 60.9% of fatal outcomes, thrombosis of the pulmonary artery--for 7.8%, intestinal fistulas--for 2.6%, and hemorrhages--for 1.7%. Improved training of doctors of emergency ambulance service, district medical officers, pediatricians, and specialists in infectious diseases in the diagnosis of acute surgical diseases is a reliable reserve in reducing the frequency of diagnostic errors in patients with acute appendicitis.

摘要

对81656例急性阑尾炎患者的手术干预结果进行了分析。在过去十年中,术后死亡率从0.2%降至0.08%。腹膜炎和腹腔内脓肿占致命结局的60.9%,肺动脉血栓形成占7.8%,肠瘘占2.6%,出血占1.7%。提高急救服务医生、地区医务人员、儿科医生和传染病专家对急性外科疾病的诊断能力,是减少急性阑尾炎患者诊断错误发生率的可靠保障。

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