急性阑尾炎的诊疗惯例操纵标准(国外英文资料).docVIP

急性阑尾炎的诊疗常规操作规范 Routine operating rules for acute appendicitis [summary] : acute appendicitis is an acute inflammation of the appendix, one of the most common acute abdominal diseases in children, and the incidence of acute appendicitis increases with age. [] diagnosis: 1, clinical manifestation 1. Metastatic right lower right abdomen pain in the beginning of the abdomen or umbilicus, hours or more than 10 hours or transfer to right lower abdominal pain. Patients has the characteristics of typical metastatic abdominal pain (female menstrual history, examination of the history of) (2) gastrointestinal symptoms of nausea, vomiting, some patients with diarrhea, tenesmus, abdominal distension etc. 3. The body symptoms of fatigue, fever (38 degrees Celsius) and heart rate increase fast. When the portal vein inflammation can appear chills, fever, and jaundice 4. Peritoneal irritation abdominal pain after transferred to the lower right abdomen, the limitations right abdomen tenderness, rebound tenderness 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 called the lower abdomen, which indicates that the appendix abscesses form 5. Signs and pathological colon aeration test positive, psoas major test positive, obturator muscle test positive, checked digital rectal womb rectum pouch or bladder rectum pouch with tenderness. 6. Laboratory examination higher white blood cell count, neutrophils ratio increased, urine normal examination, a small amount of red blood cells in urine bladder that the appendix with ureter or close. For example, suspicious pancreatitis, blood test, urine amylase. The ultrasound scan of ultrasound imaging can reveal swollen appendices or abscesses. Abdominal position X-ray film except upper digestive tract perforation, inte