Hauswald K R, Bivins B A, Meeker W R, Griffen W O
Am Surg. 1976 Oct;42(10):761-6.
An analysis of 944 cases of acute appendicitis treated at the University of Kentucky Medical Center from 1966 to 1973 is presented. There were 12 deaths in this series, a mortality rate of 1.3 per cent, and the clinical presentation, operative and autopsy findings are discussed. It is significant that seven of the 12 patients had other serious illnesses that influenced the decision for operation and that operation was delayed over 48 hours in 50 percent. It is stressed that the need for early exploration in the patient suspected of having appendicitis is even more imperative in the individual with concomitant disease. Adequate but immediate preoperative preparation with fluids and electrolytes antibiotics and stabilization of renal, pulmonary and cardiac status is mandatory.
本文对1966年至1973年在肯塔基大学医学中心接受治疗的944例急性阑尾炎病例进行了分析。该系列病例中有12例死亡，死亡率为1.3%，并对临床表现、手术及尸检结果进行了讨论。值得注意的是，12例患者中有7例患有其他严重疾病，这影响了手术决策，且50%的患者手术延迟超过48小时。强调对于疑似阑尾炎患者，尤其是伴有其他疾病的个体，尽早进行探查更为迫切。必须进行充分但即时的术前准备，包括补充液体和电解质、使用抗生素以及稳定肾脏、肺部和心脏状况。
