Apendicite aguda

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Last reviewed: 20 Jan 2026
Last updated: 05 Feb 2026

Summary

Definition

Анамнез и осмотр

Ключевые диагностические факторы

  • dor abdominal
  • anorexia
  • náuseas e vômitos
  • sensibilidade no quadrante inferior direito
  • Pontuação de risco “alta” ou “intermediária
  • abdome tenso e rígido
  • hipotensão e taquicardia
  • massa palpável
Полная информация

Другие диагностические факторы

  • idade de ocorrência
  • pirexia de baixo grau
  • rosto corado e halitose
  • ruídos hidroaéreos reduzidos
  • taquicardia
  • evacuação diarreica
  • constipação
  • quadril direito flexionado (sinal de psoas)
Полная информация

Факторы риска

  • melhor higiene pessoal
  • fumar
Полная информация

Диагностические исследования

Исследования, которые показаны в первую очередь

  • Hemograma completo
  • proteína C-reativa
  • ultrassonografia abdominal
  • tomografia computadorizada abdominal com contraste
Полная информация

Исследования, проведение которых нужно рассмотреть

  • urinálise
  • teste de gravidez
  • tipagem e reserva de sangue
  • ressonância nuclear magnética (RNM) abdominal
Полная информация

Неотложные исследования

  • proporção neutrófilos/linfócitos
  • sódio sérico
  • pentraxina-3
  • amiloide A sérica
  • índices plaquetários
Полная информация

Алгоритм лечения

Острый

apendicite não complicada: adultos

apendicite não complicada: crianças

apendicite complicada: adultos

apendicite complicada: crianças

Составители

Эксперты-консультанты

John Abercrombie, FRCS

General and Colorectal Surgeon

Queen’s Medical Centre

Nottingham

UK

Биография

JA is Clinical Lead for General Surgery, Getting It Right First Time.

Раскрытие информации

JA is trustee and council member of the Royal College of Surgeons of England.

Выражение благодарностей

BMJ Best Practice would like to gratefully acknowledge the previous expert contributor, whose work is retained in parts of the content:

Dileep N. Lobo, MS, DM, FRCS, FACS

Professor of Gastrointestinal Surgery

National Institute for Health Research, Nottingham Digestive Diseases Biomedical Research Unit

Nottingham University Hospitals and University of Nottingham, Queen's Medical Centre

Nottingham

UK

DNL declares that he has no competing interests. DNL is an author of an article cited in the topic.

Рецензенты

Sarah Richards

General Surgeon

Royal United Hospitals

Bath NHS Foundation Trust

UK

Биография

SR is a specialty advisor in emergency general surgery to the Royal College of Surgeons and an honorary senior clinical lecturer and examiner for the University of Bristol medical school.

Раскрытие информации

SR declares that she has no competing interests.

Kokila Lakhoo, PhD, FRCS, FCS (Paediatrics) MRCPCH, MBCHB

Consultant Paediatric Surgeon

Children’s Hospital in Oxford and the University of Oxford

UK

Раскрытие информации

KL declares that she has no competing interests.

Peer reviewer acknowledgements

BMJ Best Practice topics are updated on a rolling basis in line with developments in evidence and guidance. The peer reviewers listed here have reviewed the content at least once during the history of the topic.

Disclosures

Peer reviewer affiliations and disclosures pertain to the time of the review.

Список литературы

Our in-house evidence and editorial teams collaborate with international expert contributors and peer reviewers to ensure that we provide access to the most clinically relevant information possible.

Основные статьи

Di Saverio S, Podda M, de Simone B, et al. Diagnosis and treatment of acute appendicitis: 2020 update of the WSES Jerusalem guidelines. World J Emerg Surg. 2020 Apr 15;15(1):27.Полный текст  Аннотация

Gorter RR, Eker HH, Gorter-Stam MA, et al. Diagnosis and management of acute appendicitis: EAES consensus development conference 2015. Surg Endosc. 2016 Nov;30(11):4668-90.Полный текст  Аннотация

Association of Surgeons of Great Britain and Ireland; Royal College of Surgeons of England. Commissioning guide: emergency general surgery (acute abdominal pain). April 2014 [internet publication].Полный текст

Статьи, указанные как источники

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