Nhận xét thực trạng chẩn đoán viêm phúc mạc ruột thừa tại một số bệnh viện tỉnh miền núi phía Bắc

Abstract

Objective: To evaluate the situation of diagnosis of appendiceal peritonitis in some Northern mountainous general hospitals. Subject and method: A retrospective descriptive study on 468 cases who was diagnosed with appendiceal peritonitis and treated by laparoscopic surgery from January 1, 2015 to September 31, 2017 at Northern mountainous hospitals. Result: The disease was mainly seen in the working age group 19 - 60 years old; male/female ratio was equal; time from pain to surgery was mostly > 24 hours; most of the patients had fever accounted for 68.2%; some patients had vomiting, nausea, bowel disorders; all patients had clinical symptoms of abdominal pain and reaction, other common symptoms were abdominal distension and peritoneal tenderness; the majority of patients had an increase in neutrophil, accounting for 79.3%; the correct diagnosis rate of appendiceal peritonitis before surgery was 50.4%. Conclusion: The appendiceal peritonitis diagnosis in some Northern mountainous general hospitals had made many advances, contributed to the application of laparoscopic surgery to minimize complications and improve the quality of life for patients.