论文部分内容阅读
阑尾炎是外科最常见的疾病,80%以上的急性阑尾炎具有典型的临床症状和体征,诊断多不困难。但有时也会遇到特殊情况,如腹腔和盆腔内很多其他的疾病,也有转移性右下腹痛和局部压痛及反跳痛表现,这些与急性阑尾炎相类似的症状和体征常会给诊断带来困难。要通过鉴别诊断去认识不典型的阑尾炎及其它类似阑尾炎的疾病。在手术中应注意阑尾的病理改变与症状和体征是否相符,必要时应作进一步的探查,以免漏诊腹腔内的其它疾病。
Appendicitis is the most common surgical disease, more than 80% of acute appendicitis with typical clinical symptoms and signs, diagnosis and more difficult. But sometimes there are special situations such as many other diseases in the abdomen and pelvis, as well as metastatic right lower quadrant pain and local tenderness and rebound tenderness. These symptoms and signs similar to those of acute appendicitis often cause difficulties in diagnosis . Through the differential diagnosis to recognize atypical appendicitis and other diseases similar to appendicitis. Surgery should pay attention to pathological changes in the appendix and symptoms and signs are consistent, if necessary, should be further exploration, so as not to miss other diseases within the abdominal cavity.