Kraemer M, Kremer K, Leppert R, Ohmann C, Fuchs K H
Chirurgische Universitätsklinik und Poliklinik, Würzburg.
Langenbecks Arch Chir Suppl Kongressbd. 1997;114:1199-201.
Large epidemiological studies recently published suggest that perforating appendicitis may represent a separate disease entity. To find out whether perforating and nonperforating appendicitis may be distinguished by clinical features (history and examination, lab tests) data from 519 cases of acute appendicitis (17.7% perforations) were analysed, and significant differences were recorded in various aspects of history and clinical examination. It was concluded that perforating and nonperforating appendicitis may clinically be distinguished reliably in the majority of cases.
最近发表的大型流行病学研究表明，穿孔性阑尾炎可能是一种独立的疾病实体。为了弄清楚穿孔性阑尾炎和非穿孔性阑尾炎是否可以通过临床特征（病史、检查、实验室检查）来区分，对519例急性阑尾炎病例（17.7%为穿孔性）的数据进行了分析，结果发现病史和临床检查的各个方面都存在显著差异。得出的结论是，在大多数情况下，穿孔性阑尾炎和非穿孔性阑尾炎在临床上可以可靠地区分。
