Butsenko V N, Burtsev A N, Antoniuk S M, Shatalov A D
Vestn Khir Im I I Grek. 1984 Feb;132(2):111-4.
On the basis of an analysis of 17824 patients with acute appendicitis the authors make a conclusion that the main cause of neglected forms of acute appendicitis is late consultations of the patients and diagnostic and tactical errors of physicians mainly in the prehospital period. Most of the errors in the treatment of the disease result from a wrong assessment of spread of the process, technical difficulties during operations, inadequate operative access and drainage of the abdominal cavity, unreliable treatment of the process stump and its mesenterium.
基于对17824例急性阑尾炎患者的分析,作者得出结论:急性阑尾炎延误型的主要原因是患者就诊延迟以及医生的诊断和策略失误,主要发生在院前阶段。该病治疗中的大多数错误源于对病情蔓延的错误评估、手术中的技术困难、腹腔手术入路和引流不足、对阑尾残端及其系膜处理不可靠。