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急性阑尾炎:洪都拉斯一家综合医院的流行病学、临床、手术及术后特征

Acute Appendicitis: Epidemiological, Clinical, Surgical, and Post-surgical Characteristics in a Honduran General Hospital.

作者信息

Pineda Villeda Reenie H, Flores Reyes Diana L, Suazo Rivera Juan F

机构信息

Department of General Surgery, Mario Catarino Rivas Hospital, San Pedro Sula, HND.

Department of Internal Medicine, Mid Yorkshire NHS Trust, Wakefield, GBR.

出版信息

Cureus. 2023 Jun 14;15(6):e40428. doi: 10.7759/cureus.40428. eCollection 2023 Jun.

Abstract

BACKGROUND

Acute appendicitis is a common surgical emergency worldwide, yet data specific to Central America, including Honduras, are limited. This study aimed to investigate the epidemiological, clinical, surgical, and post-surgical characteristics of acute appendicitis in a Honduran general hospital.

METHODS

A descriptive, quantitative, non-experimental, cross-sectional study was conducted at the Mario Catarino Rivas Hospital in San Pedro Sula, Honduras. The study sample consisted of 100 patients admitted with acute appendicitis from January to April 2022. Data on demographic factors, surgical interventions, appendicitis phases, appendix location, and laboratory findings were collected and analyzed.

RESULTS

The mean age of the participants was 28.5 years, with a slight male predominance (52%). Timely surgical intervention was performed in 95% of cases within the first 12 hours. The gangrenous phase was observed in 30% of patients, followed by the perforated (24%), edematous (24%), and suppurative (22%). Retrocecal appendicitis accounted for the majority of cases (66%). Moderate leucocytosis (46%) and severe leucocytosis (39%) were associated with acute appendicitis severity. A higher neutrophil percentage was indicative of complicated appendicitis. Computed tomography was underutilized, with only one patient undergoing the examination.

CONCLUSION

This study provides valuable insights into Honduras' epidemiological, clinical, and surgical characteristics of acute appendicitis. Early surgical intervention and laboratory findings, such as leukocyte count and neutrophil percentage, can aid in assessing disease severity. Further research is warranted to understand the unique aspects of acute appendicitis in Central America and optimize patient management. This study highlights the need for multi-centre studies and long-term follow-up to enhance our understanding of appendicitis in similar populations.

摘要

背景

急性阑尾炎是全球常见的外科急症,但包括洪都拉斯在内的中美洲地区的相关数据有限。本研究旨在调查洪都拉斯一家综合医院中急性阑尾炎的流行病学、临床、手术及术后特征。

方法

在洪都拉斯圣佩德罗苏拉的马里奥·卡里纳诺·里瓦斯医院开展了一项描述性、定量、非实验性横断面研究。研究样本包括2022年1月至4月收治的100例急性阑尾炎患者。收集并分析了人口统计学因素、手术干预、阑尾炎阶段、阑尾位置及实验室检查结果等数据。

结果

参与者的平均年龄为28.5岁,男性略占优势(52%)。95%的病例在12小时内及时进行了手术干预。30%的患者出现坏疽期,其次是穿孔期(24%)、水肿期(24%)和化脓期(22%)。盲肠后位阑尾炎占大多数病例(66%)。中度白细胞增多(46%)和重度白细胞增多(39%)与急性阑尾炎的严重程度相关。中性粒细胞百分比升高表明阑尾炎病情复杂。计算机断层扫描的利用率较低,只有1例患者接受了该项检查。

结论

本研究为洪都拉斯急性阑尾炎的流行病学、临床和手术特征提供了有价值的见解。早期手术干预以及白细胞计数和中性粒细胞百分比等实验室检查结果有助于评估疾病严重程度。有必要开展进一步研究以了解中美洲急性阑尾炎的独特方面并优化患者管理。本研究强调了开展多中心研究和长期随访以增进我们对类似人群阑尾炎了解的必要性。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c82c/10348719/c6c9d44d0ebe/cureus-0015-00000040428-i01.jpg

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