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頁籤選單縮合
題 名 | Acute Appendicitis: A Study of 497 Patients=急性闌尾炎:497病例研究 |
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作 者 | 張銘遠; 陳豐基; 蔡榮賓; 郭憲文; | 書刊名 | 中華民國急診醫學會醫誌 |
卷 期 | 3:4 2001.12[民90.12] |
頁 次 | 頁1-12 |
分類號 | 416.243 |
關鍵詞 | 急性闌尾炎; 穿孔率; 診斷準確性; 闌尾切除術; Acute appendicitis; Perforation rate; Diagnostic accuracy; Appendectomy; |
語 文 | 英文(English) |
中文摘要 | 目的:評估急性闌尾炎診斷的準確性和確定導致穿孔之可能因素。 方法:高雄長庚醫院從西元1998年10月到西元1999年8月間共有497位臨床上懷疑急性闌尾炎而接受開刀的病患,回溯性收集其有關症狀、發作至手術的期間、白血球計數、開刀發現、住院時間、闌尾組織學、併發症等資料加以分析。 結果:本系列診斷急性闌尾炎的準確性的76.3%,以10至40歲及月經週期中濾泡期婦女之準確性最低,而統計學上有意義的影響因素有白血球數目大於一萬、會轉移至右下腹的疼痛、反彈痛、噁心或嘔吐及男性。闌尾穿孔率為43.5%,小於10歲和大於50歲之闌尾穿孔比例較高,分別為60.4%和65.3%;併發症比率和平均住院天數與是否闌尾穿孔有關,有穿孔各為26%和9.4天,無穿孔分別為5.6%和3.3天。 |
英文摘要 | Objective: To evaluate the diagnostic accuracy in acute appendicitis and to determine potential factors for perforation. Methods: We retrospectively reviewed the records of 497 patients with suspected acute appendicitis who were operated on at Kaohsiung Chang Gung Memorial Hospital during the 10-month period from October 21, 1998 through August 27, 1999. Data concerning the duration of symptoms, white blood cell counts, intra-operative findings, hospital stay, histology of the appendix, and complications were analyzed. Results: In our series, a diagnostic accuracy of 76.3% was found. Accuracy was the lowest in women 20 to 40 years of age or women during the follicular phase of the menstrual cycle. Factors that significantly suggested acute appendicitis included total white blood cell (WBC)(>10000), migration of pain to the right lower quadrant, rebounding pain, nausea or vomiting, and gender. Perforation rate was 43.5%. Groups at risk for perforation were patients younger than 10 years (60.4% perforated) and those older than 50 years (65.3% perforated). The complication rate of perforated appendicitis was 26.0% which was significantly higher than that for non-perforated appendicitis of 5.6%. The mean hospital stay for patients with non-perforated and perforated appendicitis was 3.3 and 9.4 days, respectively. Conclusion: Delay in presentation was associated with an increased risk of perforation. Physicians should continue to rely on their clinical judgment in making the diagnosis of acute appendicitis. |
本系統中英文摘要資訊取自各篇刊載內容。