Öztürk Alaattin, Korkmaz Mevlit, Atalay Talha, Karaköse Yüksel, Akinci Ömer Faruk, Bozer Mikdat
Am Surg. 2017 Apr 1;83(4):390-393.
In this study, we aimed to determine factors that cause appendix perforations and to identify the role of physicians and patients in contributing to the cause of these perforations. This study was conducted between April 2010 and May 2015 and included 64 patients with perforated appendicitis. Patients' medical records were examined for factors that might have contributed to perforation, and the roles of patients and physicians in perforation appendicitis were evaluated. The perforation rate of patients with appendicitis was 16.0 per cent. The average duration from symptom onset to hospital admission was 4.4 days (29 patients were admitted to hospital within two days, 35 were admitted later). In total, 38 patients had visited a different hospital before admission. Furthermore, six out of 26 patients who had not visited any other hospital had consumed analgesics. Factors contributing to appendix perforation included misdiagnosis at the patient's initial visit (56.0%), delayed admission to hospital (11.0%), and use of analgesics (9.0%). The cause of perforation was mostly physician-related in children and adults, and patient-related in older adults.
在本研究中，我们旨在确定导致阑尾穿孔的因素，并明确医生和患者在这些穿孔病因中的作用。本研究于2010年4月至2015年5月期间进行，纳入了64例阑尾穿孔患者。检查患者的病历以寻找可能导致穿孔的因素，并评估患者和医生在阑尾穿孔中的作用。阑尾炎患者的穿孔率为16.0%。从症状出现到入院的平均时长为4.4天（29例患者在两天内入院，35例患者随后入院）。总共有38例患者在入院前曾就诊于其他医院。此外，在未就诊于任何其他医院的26例患者中，有6例使用过镇痛药。导致阑尾穿孔的因素包括患者初诊时误诊（56.0%）、延迟入院（11.0%）和使用镇痛药（9.0%）。穿孔原因在儿童和成年人中大多与医生相关，而在老年人中则与患者相关。
