[急性阑尾炎。200例临床病理分析]

[Acute appendicitis. A clinicopathological analysis of 200 cases].

作者信息

Fragoso-Maíz C, Ramos-Martínez E, García-Martínez R, Meléndez-Blanco S

机构信息

Servicio de Urgencias, Universidad Autónoma de Chihuahua.

出版信息

Rev Gastroenterol Mex. 1993 Oct-Dec;58(4):342-5.

PMID:8159900

Abstract

OBJECTIVES

a) to carry out a prospective study of 200 cases of acute appendicitis in adult patients; b) to correlate clinical, laboratory, radiological, and pathological findings.

MATERIAL AND METHODS

clinical data were collected from all patients; every patient had hematic biometry, urine exam (UE), abdominal radiography, an histopathological study appendix.

RESULTS

the patients were 98 males and 102 females; 66.5% were between 15 and 25 years old. All patients had abdominal pain, 56.5% nausea and vomit, 49% fever, 10.5% diarrhea, and 6% urinary symptoms. Post-operatory complications were seen in 24.5%. Leucocytosis greater than 10,000 was found in 82.5%, some alteration of UE in 45%, and abnormal radiography in 56.5%. Histopathological study showed simple appendicitis in 16.5%, hemorrhagic in 8%, purulent in 22%, hemo-purulent in 30.5%, an perforated in 21%.

CONCLUSIONS

the diagnosis of appendicitis is basically a clinical one, since 17.5% showed normal white-cell count, and 43.5% normal radiography.

摘要

目的

a) 对200例成年急性阑尾炎患者进行前瞻性研究；b) 关联临床、实验室、放射学及病理学检查结果。

材料与方法

收集所有患者的临床资料；每位患者均进行血液生化检查、尿液检查（UE）、腹部X线检查及阑尾组织病理学研究。

结果

患者中男性98例，女性102例；66.5%的患者年龄在15至25岁之间。所有患者均有腹痛，56.5%的患者有恶心呕吐症状，49%的患者发热，10.5%的患者腹泻，6%的患者有泌尿系统症状。术后并发症发生率为24.5%。82.5%的患者白细胞计数高于10,000，45%的患者尿液检查有异常，56.5%的患者腹部X线检查异常。组织病理学研究显示单纯性阑尾炎占16.5%，出血性阑尾炎占8%，化脓性阑尾炎占22%，出血化脓性阑尾炎占30.5%，穿孔性阑尾炎占21%。