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首页> 外文期刊>Journal of Clinical Sciences >Pattern of presentation and outcome of management of acute appendicitis: A 10-year experience
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Pattern of presentation and outcome of management of acute appendicitis: A 10-year experience

机译：急性阑尾炎的表现模式和治疗结局：10年经验

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Background: Appendicitis is one of the most common indications for nonelective abdominal surgery. This is true in both developed and developing countries. The aim of this study was to describe the pattern of presentation and outcome of management in a large hospital in the developing world. Methods: All patients of the general surgery divisions who had appendicectomy for clinical preoperative diagnosis of acute appendicitis between July 2007 and June 2016 were included in the study. Patients who had incidental appendicectomy were excluded from the study. Data were collected retrospectively using a data collection instrument designed for the study. Results: The total number of appendicectomy operations performed within the stipulated period was 1081. Male:female ratio was 1.37:1. The age range was from 12 years to 80 years. The most common symptom and sign remain the right lower quadrant pain and right iliac fossa tenderness, respectively. The duration of symptoms before presentation ranged from 10 h to 96 h. Approximately 20% or a fifth of the patients had ruptured appendix. Tumor associated appendicitis constituted 2.2%. The negative appendicectomy rate was 9.5%. About 47% of the patients were discharged Conclusion: The diagnosis of acute appendicitis in the developing world may still be done with acceptable levels of accuracy based on in-depth medical history and clinical examination.
机译：背景：阑尾炎是非选择性腹部手术的最常见适应症之一。在发达国家和发展中国家都是如此。这项研究的目的是描述发展中国家一家大型医院的表现模式和管理结果。方法：将2007年7月至2016年6月期间所有接受外科阑尾切除术以对急性阑尾炎进行临床术前诊断的普通外科患者纳入研究。偶然进行阑尾切除术的患者被排除在研究之外。使用为研究设计的数据收集工具回顾性收集数据。结果：在规定的时间内进行阑尾切除术的总数为1081，男女之比为1.37：1。年龄范围是12岁至80岁。最常见的症状和体征分别是右下腹疼痛和右窝压痛。出现前症状的持续时间为10 h至96 h。约20％或五分之一的患者阑尾破裂。肿瘤相关性阑尾炎占2.2％。阑尾切除术阴性率为9.5％。约47％的患者已出院结论：根据深入的病史和临​​床检查，在发展中国家，急性阑尾炎的诊断仍可以以可接受的准确度进行。

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