if suffering from acute appendicitis, early to do the surgery, the danger was already very small, the consequences are very good; But the event of a “perforated appendix,” who formed the Light local abscess, who re-occurrence of diffuse peritonitis, abdominal suppuration, septic shock, or even life-threatening, or perforation after timely surgery, often lead to wound infection, abdominal residual abscess, intestinal fistula, adhesion, such as adhesive intestinal obstruction a series of complications, many repeatedly suffered abdominal surgery patients suffering from the intestinal adhesion, retroactive its original source of the disease often is the “appendiceal perforation.” So Beware appendectomy piercing has become the key to the treatment of appendicitis, which is key to patients, their families and doctors closely cooperate and work together to complete.
Metastatic right lower abdominal pain and acute appendicitis early medical acute exacerbation of chronic appendicitis, abdominal pain are first chest pain or pain around the navel, about 2-4 hours later, a gradual shift to the right lower quadrant, called “metastatic right lower abdominal pain, “is a major feature of appendicitis. If seize this opportunity, the timely medical treatment, it will be early diagnosis and timely treatment, can avoid most of appendiceal perforation. Acute appendicitis other characteristic signs and symptoms are: gastrointestinal reactions such as nausea, vomiting, anorexia, sustained abdominal pain, paroxysmal increase, or with diarrhea or abdominal distention; abdominal tenderness, piercing can diffuse the whole abdominal; white blood cell count was increased, more than more than 10,000 / mm3.
Appendicitis earlier appendicitis surgery despite treatment with a variety of methods, but the most sure resection or inflammation of the appendix as soon as possible. Appendicitis, the Chinese called intestinal carbuncle is appendectomy suppurative inflammation, the majority have empyema cavity, appendectomy vulnerable necrosis, the perforation is very high, only its cut off early, in order to avoid the perforation occurred. According to the development of contemporary medicine, appendectomy surgery is a safe minor operation, and can fully without fear.
Conservative treatment must be thoroughly diagnosed appendicitis, as a result of the examination, negotiation, implementation of special tasks at work or delinking can not do without, surgery for the time being unacceptable, it should be thoroughly conservative treatment. Principle is adequate and effective combination of antibiotics, the development of forcibly controlling inflammation, a result of intestinal bacteria complex, it is necessary to control the cocci and bacilli aerobic, anaerobic bacteria have control, should be used metronidazole (metronidazole ). Conservative treatment should closely observe the condition, if still deteriorating into surgery. occasional fasting should be obvious symptoms, or not to move around too much exertion to avoid contributed perforation.
Missed diagnosis of appendicitis in recent years, not older found an increase in elderly patients with acute appendicitis has been accounted for appendicitis 1% of the total, rose to 4 percent. But the elderly insensitive to pain, appendicitis clinical manifestations not typical, appearance is still very mild symptoms, the actual pathological changes already very serious, so easily missed caused perforation. In a group of elderly patients with acute appendicitis reports, piercing accounted for 31%, the incidence procrastinated for 48 hours more, perforation of 34 percent. This requires that the elderly and their families, for minor abdominal pain and other symptoms, there must be a high degree of vigilance, the best approach is for medical treatment as early as possible for further examination, early diagnosis.
Pregnancy Pregnancy appendicitis time to act is easily misdiagnosed with appendicitis, the appendix position was over because, after appendectomy increased by peritoneal and may mainly to low back pain, tenderness point, not obvious, often difficult diagnosis; even diagnosed, patients and their families more refused surgery, in this hesitation, often caused by perforated appendix. Now that pregnancy with appendicitis, appropriate surgical treatment. Early pregnancy (1-3 months) appendectomy not interfere with the uterus; medium-term (4-7 months) embryos has been fixed in the womb, it is not easy abortion, surgical resection is the best time to appendectomy; Advanced (8-9 months) even if the surgery caused premature, the majority of babies will survive. It can be said that pregnancy complicated by appendicitis on the risk of fetal survival is not caused by surgery, but delayed diagnosis or delay caused by surgery, especially once perforated appendix, the consequences would be unthinkable. The method is to avoid early diagnosis, early surgery and not hesitate.
bad, peritoneal cavity relatively large surface area, thus easily perforated appendix, once perforated abdominal inflammation difficult to control and limitations, re-poisoning symptoms, complications, mortality was significantly higher than that of adults. According to a group of 3,500 cases of children with appendicitis pathological examination confirmed that simple appendicitis accounted for 30.7 percent, suppurative accounted for 50.9 percent, gangrene perforation of 12.8%, the incidence of peritonitis for 43.5 percent. Therefore, once diagnosed appendicitis early surgical resection. If the patient can be diagnosed fail to strictly observe the 6 hours, can not be ruled out appendicitis, they should consider surgery to avoid gangrene perforation, causing serious consequences.
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