急性阑尾炎诊疗规范、(国外英文资料).docVIP

急性阑尾炎诊疗规范、(国外英文资料) Acute appendicitis [summary] Acute appendicitis is an acute inflammation of the appendix, one of the most common cases of acute abdominal disease in children and increases with age. [diagnosis] One, clinical manifestation Metastatic right lower abdominal pain?? The upper abdomen or umbilicus can be painful for several hours or more than 10 hours. 70-80% of patients have typical metastatic abdominal pain (women include menstrual history, marital history) Gastrointestinal symptoms? Nausea, vomiting, some patients with diarrhea, retentive and abdominal distension Systemic symptoms? Fatigue, fever (about 38 degrees), heart rate increase fast. There can be a cold war, high fever, and jaundice when it occurs Peritoneal stimulation?? When abdominal pain is transferred to the lower right side of the abdomen, the right lower part of the abdomen has a limited pressure, pain, and muscle tension. The right lower abdomen tenderness is the most common important sign of acute appendicitis, and the pain point is at the point of the malt point (1/3 intersections of the anterior superior iliac spine and the umbilical line). The right lower part of the abdomen is a block, which indicates the formation of an appendage abscess Pathological signs?? Test positive for the colon, test positive for the lumbar muscle, test positive for the obturator internus, and rectal examination of the rectum of the rectum in the rectum of the uterus or the rectum of the bladder. Laboratory examination?? The white blood cell count is elevated, the ratio of neutrophilic granulocytes is higher, the urine test is normal, the small amount of red blood cell in the urine is indicated that the appendix is close to the ureter or bladder. For example, suspicious pancreatitis, blood test, urine amylase. B, CT imaging?? Swollen appendices or abscesses can be found. Abdominal position X-ray film except upper digestive tract perforation, intestinal obstruction and so on Second, check the B: a swolle