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新冠疫情封锁期间的急性阑尾炎:危机中也蕴藏机遇!

Acute appendicitis during the COVID-19 lockdown: never waste a crisis!

机构信息

Department of Emergency Surgery, Cagliari University Hospital 'Duilio Casula', Azienda Ospedaliero-Universitaria di Cagliari, Cagliari, Italy.

General Surgery Unit, Nicola Giannettasio Hospital, Corigliano-Rossano, Italy.

出版信息

Br J Surg. 2021 Jan 27;108(1):e31-e32. doi: 10.1093/bjs/znaa073.

DOI:10.1093/bjs/znaa073
PMID:33640949
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7929268/
Abstract
  1. Whilst the number of Covid-19 cases increases, fewer patients present with appendicitis to the emergency department, and those who do, present with more advanced disease. 2. These findings are consistent with the hypothesis of a pre-hospital selection, with high rates of successful resolution of uncomplicated appendicitis following patients self-medication with antibiotics at home. 3. Patients admitted with suspected appendicitis during the pandemic are more likely to undergo preoperative imaging, which possibly explains the fall in negative appendectomy rate, especially in the UK.
摘要
  1. 随着新冠病例数量的增加,到急诊科就诊的阑尾炎患者数量减少,而那些确实患有阑尾炎的患者病情更为严重。

  2. 这些发现与院前选择的假说一致,即在家中自行使用抗生素治疗的简单阑尾炎患者有很高的成功率,从而缓解了疾病。

  3. 大流行期间因疑似阑尾炎住院的患者更有可能接受术前影像学检查,这可能解释了阴性阑尾切除率下降的原因,尤其是在英国。

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本文引用的文献

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