Lee H Y, Jayalakshmi P, Noori S H
Department of Surgery, University Hospital, Kuala Lumpur.
Med J Malaysia. 1993 Mar;48(1):17-27.
A 1 year review of 529 cases of acute appendicitis, treated at the University Hospital in 1990, was performed. Perforation rate was 23.7% and delay in diagnosis was found to be significant. Patients above 50 years of age were particularly at risk. Diagnostic error was 19.3% and it was a problem not only in young women but also in children. Temperature and rectal examinations were not found to be helpful in the diagnosis in contrast to leukocytosis. Waiting time for operation was long (median 7 hours), be it for a perforated or a nonperforated appendicitis.
对1990年在大学医院接受治疗的529例急性阑尾炎病例进行了为期1年的回顾。穿孔率为23.7%，发现诊断延迟情况严重。50岁以上的患者风险尤其高。诊断错误率为19.3%，这不仅是年轻女性面临的问题，儿童也存在该问题。与白细胞增多症相比，体温和直肠检查在诊断中并无帮助。无论是穿孔性阑尾炎还是非穿孔性阑尾炎，手术等待时间都很长（中位数为7小时）。
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