Jenny M
Schweiz Med Wochenschr. 1981 May 30;111(22):816-8.
Of 408 patients hospitalized for suspected appendicitis, 347 underwent appendectomy. 20.5% of the appendices removed were gangrenous or perforated, while 19.8% showed no acute inflammation. Retrospective analysis of the data collected from all of the 347 patients who underwent surgery and a review of the literature suggest that the following measures could contribute to a lowering of both perforation rate and rate of negative laparotomies: (1) Reconsideration of present concepts on the clinical picture of acute appendicitis and a more precise definition of the terms used. (2) Improved methods of history-taking and examination of patients. (3) More complete recording of the data collected in every case of suspected appendicitis, (4) Intensive in-hospital observation for a short period of time. (5) Laparoscopy in cases which remain doubtful.
在因疑似阑尾炎住院的408例患者中，347例接受了阑尾切除术。切除的阑尾中20.5%为坏疽性或穿孔性，而19.8%未显示急性炎症。对所有347例接受手术患者收集的数据进行回顾性分析并查阅文献表明，以下措施可能有助于降低穿孔率和阴性剖腹探查率：（1）重新审视目前关于急性阑尾炎临床表现的概念，并更精确地定义所用术语。（2）改进患者病史采集和检查方法。（3）更完整地记录每例疑似阑尾炎病例收集的数据。（4）进行短时间的强化住院观察。（5）对仍有疑问的病例进行腹腔镜检查。
