Williams N, Bello M
Department of Surgery, Leicester Royal Infirmary, UK.
J R Coll Surg Edinb. 1998 Apr;43(2):101-2.
To determine if perforation rate is a function of delayed diagnosis or delayed presentation in childhood acute appendicitis we performed a retrospective casenote review of 101 consecutive children undergoing emergency appendicectomy over a 12-month period. The perforation rate was 7% in those children presenting with symptoms of 1 day or less and was significantly greater (33%, Chi 2 = 9.45, P < 0.01) in those who had had symptoms for more than 1 day at presentation. There was no difference in in-hospital delay between the groups. A high perforation rate was found to be a feature of delayed presentation.
为了确定在儿童急性阑尾炎中穿孔率是否是延迟诊断或延迟就诊的函数，我们对连续101例在12个月期间接受急诊阑尾切除术的儿童进行了回顾性病例记录审查。症状出现1天或更短时间的儿童穿孔率为7%，而就诊时症状出现超过1天的儿童穿孔率显著更高（33%，卡方检验=9.45，P<0.01）。两组之间的住院延迟没有差异。发现高穿孔率是延迟就诊的一个特征。
