EMERGENCY APPENDECTOMY - A ONE YEAR AUDIT

被引：5

作者：

GIBNEY, EJ

AJAYI, N

LEADER, M

BOUCHIERHAYES, D

机构：

[1] Departments of Surgery and Pathology, Beaumont Hospital

来源：

IRISH JOURNAL OF MEDICAL SCIENCE | 1992年 / 161卷 / 04期

关键词：

D O I：

10.1007/BF02983758

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

A retrospective study of emergency appendicectomy over a one-year period at Beaumont Hospital was carried out. The overall normal appendicectomy rate was 22.8 %, and was twice as high in women (31%) as in men (15%). Gangrenous or perforated appendicitis was present in 20% of cases. The overall mean assessment-surgery interval was 16.7 hours. Considerable variation in the use of antimicrobial agents was noted in the study, and many haematological and radiological investigations performed did not appear to improve diagnostic accuracy. Among patients with clinical features typical of appendicitis, 16% proved to have a normal appendix. These results point to a number of aspects of the diagnosis and management of appendicitis where there appears to be room for future improvement.

引用

页码：101 / 104

页数：4

共 14 条

[1]

Morris J., Baker D.J., Nelson M., Diet, infection, and acute appendicitis in Britain and Ireland, J. Epidemiol. Community Health, 41, pp. 44-49, (1987)

[2]

Fitz R.H., Perforating inflammation of the vermiform appendix, with special reference to its early diagnosis and treatment, Trans. Assoc. Am. Physicians, 1, pp. 107-136, (1886)

[3]

Lamer A.J., The aetiology of appendicitis, Br. J. Hosp. Med., 10, pp. 540-542, (1988)

[4]

Hoffman J., Rasmussen O.O., Aids in the diagnosis of acute appendicitis, Br. J. Surg., 76, pp. 774-779, (1989)

[5]

Lau W.Y., Ho Y.C., Chu K.W., Yeung C., Leucocyte count and neutrophil percentage in appendicectomy for suspected appendicitis, Aust NZJ Surg., 59, pp. 395-398, (1989)

[6]

Lyons D., Waldron R., Ryan T., O'Malley E., An evaluation of the clinical value of the leucocyte count and sequential counts in suspected acute appendicitis, Br. J. Clin. Path., 41, pp. 794-796, (1987)

[7]

Deutsch A.A., Zelikovsky A., Reiss R., Laparoscopy in the prevention of unnecessary appendicectomies: a prospective study, Br. J. Surg., 69, pp. 336-337, (1982)

[8]

Fa E.M., Cronan J.J., Compression ultrasonography as an aid in the differential diagnosis of appendicitis, Surg. Gynecol. Obstet., 169, pp. 290-298, (1989)

[9]

Oo H.W.A., Koumans R.K.J., Kang-You P.J., Puylaert J.B.C.M., Ultrasonography in the diagnosis of acute appendicitis, Br. J. Surg., 78, pp. 315-318, (1991)

[10]

Davies A.H., Mastorakou I., Cobb R., Rogers C., Lindsell D., Mortensen, Ultrasonography in the acute abdomen, Br. J. Surg., 78, pp. 1178-1180, (1991)

← 1 2 →