Llanio R
Instituto Nacional de Gastroenterología de Cuba, La Habana.
Acta Gastroenterol Latinoam. 1986;16(3):177-85.
In our Country through the acquired experience, we have reached the 10 more frequent diagnostics in laparoscopies of urgency. 1) Our 10 more frequent diagnosis in laparoscopy were: Salpingitis 27.5%; Appendicitis 18%; Ovarian cyst 18%; Inflammatory localized processes 8.5%; Ectopic pregnancy 4.5%; Peritonitis 4%; Piosalpinx 3.5%; Cholecystitis 3%; Hemoperitoneum 3%; Metritis 2%. 2) That acute abdomen conditions should be diagnosed as early as possible. 3) That the maximum time employed to this diagnostic must not depass of six hours from the onset of the symptomatology. 4) That if at that time a diagnostic has not been established by all resources at the hands of the physician, an emergency laparoscopy shall be indicated. 5) That, this laparoscopy of urgency ought to be performed immediately at an Specialized Service and by a qualified endoscopist. 6) That, a qualified endoscopist shall be able to issue a laparoscopic diagnostic of the pathologies of the different abdominal organs, digestives and gynecological, in adults and children.
在我国,通过积累的经验,我们得出了急诊腹腔镜检查中最常见的10种诊断结果。1)我们腹腔镜检查中最常见的10种诊断结果为:输卵管炎27.5%;阑尾炎18%;卵巢囊肿18%;局限性炎症过程8.5%;宫外孕4.5%;腹膜炎4%;输卵管积脓3.5%;胆囊炎3%;血腹3%;子宫炎2%。2)急性腹部疾病应尽早诊断。3)进行此项诊断所用的最长时间不得超过症状出现后的6小时。4)如果此时医生用尽所有方法仍未确诊,则应进行急诊腹腔镜检查。5)这种急诊腹腔镜检查应立即在专科医院由合格的内镜医师进行。6)合格的内镜医师应能够对成人和儿童不同腹部器官、消化器官和妇科器官的病变做出腹腔镜诊断。