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首页 > 医学词汇大全 > Acute Appendicitis
Acute Appendicitis

消化

关键词消化 疾病 外科疾病

词汇介绍

拓展阅读

解析

acute 英 [əˈkju:t] 美 [əˈkjut]

释义   adj. 严重的,[医] 急性的;敏锐的;激烈的;尖声的

例句   Cholera is an acute intestinal infection caused by ingestion of food or water contaminated with the bacterium Vibrio cholerae.

霍乱是由摄入受霍乱弧菌这种杆菌污染的食物或水引起的一种急性肠道感染。

 

appendicitis 英 [əˌpendəˈsaɪtɪs] 美 [əˌpɛndɪˈsaɪtɪs]

释义   n. [医] 阑尾炎;盲肠炎

例句   Severe stomach pain could be a sign of appendicitis.

剧烈的胃痛可能是盲肠炎的征兆。


概述

急性阑尾炎是外科最常见的疾病,典型临床表现为转移性右下腹痛,伴发热、恶心及呕吐,右下腹有固定压痛点。1886年,Fiz首先将本病命名为“阑尾炎”,提倡用阑尾切除术治疗本病。1889年,Mcburney采用分离肌肉的手术切口行阑尾切除术,后人将其称为“麦氏切口”,沿用至今。急性阑尾炎可在各个年龄人群中发病,但以20~30岁青壮年发病率最高,约占40%;男性多于女性,比例约为3:2。治疗原则是早期诊断、早期手术。绝大多数病人治疗效果良好,但少数病人临床表现不典型,易被误诊而延误病情,应特别注意。

Diagnostic Imaging in Pregnant Patients With Suspected Appendicitis复制标题

疑似阑尾炎孕妇的影像诊断

发表时间:2019-07-01

影响因子:51.3

作者: Steven J. Schwulst

期刊:JAMA

Diagnosing the source of acute abdominal pain during pregnancy is challenging. While obstetric causes are the most common source, acute appendicitis is the most common nonobstetric surgical emergency. Yet, diagnosing acute appendicitis can be particularly challenging during pregnancy because of the overlap in symptoms between appendicitis and normal pregnancy, the higher likelihood for nonclassic symptoms with appendicitis during pregnancy, anatomic changes related to the gravid uterus, and the physiologic leukocytosis of pregnancy. These diagnostic challenges can lead to the development of complications from a delay in diagnosis and treatment or misdiagnosis resulting in a negative appendectomy. Both scenarios have been associated with increased risks for maternal and perinatal morbidity. In the largest study to date, which included  94 789 patients, appendectomy for perforated appendicitis was associated with a 6% rate of fetal loss and 11% rate of early delivery; for negative appendectomy, the rate of fetal loss was 4% and the rate of early delivery was 10%.1 Compared with simple appendicitis, perforated appendicitis (odds ratio, 2.69) and negative appendectomy (odds ratio, 1.99) are the major factors associated with fetal loss. These data highlight an opportunity to improve strategies to allow for more timely and accurate diagnosis of appendicitis to reduce the risks of perforation or unnecessary operation in pregnant patients and improve perinatal outcomes.

译文

诊断妊娠期急性腹痛的来源具有挑战性。虽然产科原因是最常见的原因,但急性阑尾炎是最常见的非产科外科急症。然而,诊断急性阑尾炎在怀孕期间可能特别具有挑战性,因为阑尾炎和正常妊娠之间的症状重叠,怀孕期间出现阑尾炎的非经典症状的可能性更高,与妊娠子宫相关的解剖学变化以及妊娠的生理性白细胞增多。这些诊断挑战可导致由于延迟诊断和治疗或误诊而引起的并发症,导致阴性阑尾切除术。这两种情况都与孕产妇和围产期发病风险增加有关。在迄今为止规模最大的研究中,包括94 789名患者,穿孔性阑尾炎的阑尾切除术与6%的胎儿丢失率和11%的早期分娩率相关;对于阴性阑尾切除术,胎儿丢失率为4%,早期分娩率为10%.1与单纯性阑尾炎相比,穿孔性阑尾炎(优势比,2.69)和阴性阑尾切除术(优势比,1.99)是相关的主要因素。胎儿丢失。这些数据突出了改进策略的机会,以便更及时和准确地诊断阑尾炎,以降低怀孕患者穿孔或不必要手术的风险,并改善围产期结局。