Acute appendicitis in the emergency diagnosis of B.docVIP

 PAGE \* MERGEFORMAT 7 Acute appendicitis in the emergency diagnosis of B [Keywords:] B-acute appendicitis Acute appendicitis is a common acute abdomen surgery, one of acute abdominal pain is common for the outstanding performance of abdominal disease, characterized by acute onset, rapid development, changing, the need for timely surgical treatment, clinicians rely on history taking and physical examination alone , Misdiagnosis occur, emergency B-for its fast, non-invasive, user-friendly features for the diagnosis of acute appendicitis most reliable objective evidence of effective treatment provides an important guiding role. the author of the 165 patients with suspected acute appendicitis underwent a B-ultrasound, and surgical pathology, found that ultrasound diagnosis of acute appendicitis has great practical value, are reported below. 1 Materials and Methods April 2008 to October 2009 our hospital because of acute abdominal pain diagnosed as acute appendicitis in patients with a total of 165 patients, male 97 cases, female 68 cases, aged 17 to 62 years, average 38 years old. Patients with acute right lower abdominal pain, chief complaint or Cullen, sustained 3h ~ 5 days, depending on, with or without fever, vomiting, diarrhea and other symptoms, physical examination: The patient was right lower quadrant tenderness, with rebound tenderness and muscle tension, experiment Room check: elevated white blood cell count and neutrophil percentage increased. All cases were B emergency abdominal ultrasound. Equipment used ultrasound diagnostic SONOLINE G20 and Siemens, GE LOGIQ @ 200 ultrasonic diagnostic apparatus. Examination, the patient is supine or right anterior oblique, first identified in patients with Zuiteng at key check Then the probe as a center, multi-angle, multi-directional scanning phase pressure and look for psoas muscle, appendix, iliac artery and vein as a symbol for sonography of appendicitis. carefully and observe the records