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頁籤選單縮合
題 名 | 無影像學下診斷急性闌尾炎的再審視=Acute Appendicitis--A Reappraisal of Diagnosis without Imaging |
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作 者 | 張志然; 林博文; 洪裕昌; 陳文超; 蔡明哲; | 書刊名 | 中華民國急診醫學會醫誌 |
卷 期 | 3:3 2001.09[民90.09] |
頁 次 | 頁25-30 |
分類號 | 416.243 |
關鍵詞 | 急性闌尾炎; 陰性闌尾切除率; 穿孔率; Acute appendicitis; Negative appendectomy rate; Perforation rate; |
語 文 | 中文(Chinese) |
中文摘要 | 目的:瞭解急診室醫師在無影像診斷工具抜援下對急性闌尾炎之診斷。 方法:自民國86年7月1日至88年6月30日的2年期,經支援臺南市某地區醫院急診室之10位外科主治醫師臨床診斷懷疑為急性闌尾炎而開刀的病患。 結果:115個病例中,男性46位、女性69名,平均年齡為32歲。確定診斷為急性闌尾炎的有77例,亦即整體之陰性闌尾切除率為33%,而女性發生的比率較男性多(43.5%vs17.4%)。有急性闌尾炎的穿孔率(Perforation rate)bf 20.8%,男性併發的比率高於女性(28.9%vs12.8%)。 結論:佔相當數量地區醫院急診室的第一線醫師,應加強最基本的病史詢問、理學檢查和臨床經驗,而白血球計數及其分類、CRP、病情變化的觀察和計分系統的使用可協助診斷。 |
英文摘要 | Background:Modern imaging technology such as ultrasound and computed tomography has greatly improved diagnostic accuracy. Unfortunately, uneven health care resource distribution and health insurance restrictions have limited their use. This study attempted to re-evaluate the ability of present day surgeons to diagnose acute appendicitis in an emergency department (ED) so that comparisons could be made with emergency physicians (EP). Method:A total of 115 jpatients with acute appendicitis underwent surgery in a local hospital ED in Tainan city between July 1, 1997 and June 30, 1999. ten board-certified general surgeons within the ED. Diagnostic tools. Were patient history, physical examination and a complete blood count. Pathology reports were examined to assess final outcome. Results:There were a total of 43 male and 69 female patients, averaging 32 years of age. Seventy-seven surgically confirmed cases of appendicitis (67%) were identified, 38 male and 39 female. The overall negative appendectomy rate was 33%; 17.4% male, 43.5% female. The perforation rate was 20.8%; 28.9% male, 12.8% female. Conclusion:With the help of modern imaging technology, physicians can make more accurate diagnoses. Basic training directed at detailed history taking, a through physical examination and serial follow-up within the ED nevertheless remains essential. Using the present study as a benchmark, a comparative study with emergency physicians is possible. |
本系統中英文摘要資訊取自各篇刊載內容。