Clinical characteristics and prognosis of patients with acute appendicitis in primary hospitals
YU Teng-fei1,2 LI Fan1 DING Guo-feng3▲
1.Clinical Medical College, Binzhou Medical College, Shandong Province, Yantai 264000, China;
2.Department of General Surgery, the Second People′s Hospital of Jimo District in Qingdao City, Shandong Province, Qingdao 266200,China;
3.Department of Infectious Disease, Affiliated Hospital of Binzhou Medical College, Shandong Province,Binzhou 256600, China
Abstract：Objective To explore the clinical characteristics and treatment outcome of patients with acute appendicitis in primary hospitals.Methods A retrospective analysis was made of 107 cases clinical data of acute appendicitis diagnosed and treated in the Second People′s Hospital of Jimo District in Qingdao from January 2015 to January 2018, the clinical characteristics of 107 cases of acute appendicitis were analyzed.The pain, white blood cell count and neutrophil percentage and C-reactive protein (CRP) of 107 patients with acute appendicitis before and after operation were compared.The therapeutic effect, complications, hospitalization time, hospitalization cost and pathological examination results of 107 patients with acute appendicitis were analyzed.Results Abdominal pain was the main clinical manifestation in 104 patients (97.20%), among them, 72 patients (67.29%) had typical metastatic right lower abdominal pain,101 cases (94.39%) had fever, 83 cases (77.57%) had body temperature ≥38.3℃.The pain score, white blood cell count, percentage of neutrophils and CRP level 3 days after operation were lower than those before operation, the differences were statistically significant (P<0.05).104 cases were cured by operation, the cure rate was 97.20%, there were no deaths.Postoperative complications occurred in 19 cases (17.76%), included 11 cases of incision infection(10.28%), 5 cases of intestinal obstruction (4.67%) and 3 cases of incision fat liquefaction (2.80%).The duration of hospitalization was (8.59±1.92) days, and the cost of hospitalization was (4479.27±421.04) yuan.Postoperative pathological findings included simple appendicitis in 13 cases (12.15%), suppurative appendicitis in 68 cases (63.55%) and gangrenous appendicitis in 26 cases (24.30%).Conclusion Most patients with acute appendicitis have abdominal pain accompanied by fever as their main clinical manifestations.Traditional surgical treatment in grass-roots hospitals has a high cure rate and quick recovery after operation, which can reduce medical expenses.However, aseptic operation should be strengthened to reduce the occurrence of complications after operation and shorten the hospitalization time.
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