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急性阑尾炎

  • Overview
  • Theory
  • Diagnosis
  • Management
  • Follow up
  • Resources
Last reviewed: 14 Feb 2025
Last updated: 11 Jun 2021

Summary

定义

病史和体格检查

关键诊断因素

  • 腹痛
  • 厌食
  • 右下腹压痛
完整详情

其他诊断因素

  • 青春期或成年期早期
  • 恶心
  • 发热
  • 肠鸣音减弱
  • 心动过速
  • 呕吐
  • Rovsing 征
  • 腰大肌征
  • 闭孔内肌征
完整详情

危险因素

  • 母乳喂养<6 个月
  • 低膳食纤维
  • 个人卫生的改善
  • 吸烟
完整详情

诊断性检查

首要检查

  • 全血细胞计数（FBC）
  • 腹部和盆腔 CT 扫描
  • 尿妊娠试验
完整详情

需考虑的检查

  • 腹部超声
  • 尿液分析
  • 妊娠期腹部和盆腔 MRI
完整详情

治疗流程

急症处理

无并发症的急性阑尾炎

身体不适且伴有穿孔或脓肿

撰稿人

作者

Ali Tavakkoli, MBBS, FRCS, FACS

Associate Professor of Surgery

Harvard Medical School

Brigham and Women's Hospital

Boston

MA

利益声明

AT is a consultant for Medtronic.

Peter Szasz, MD, PhD, FRCSC

Clinical Fellow

Surgery

Harvard Medical School

Brigham and Women's Hospital

Boston

MA

利益声明

PS declares that he has no competing interests.

鸣谢

Professor Ali Tavakkoli and Dr Peter Szasz would like to gratefully acknowledge Professor Dileep N. Lobo and Dr Nasim Ahmed, previous contributors to this topic. DNL is the author of an article cited in the topic. NA declares that he has no competing interests.

同行评议者

John M. Davis, MD

General Surgery

Jersey Shore Medical Center

Neptune

NJ

利益声明

JMD declares that he has no competing interests.

  • 急性阑尾炎 images

  • Differentials

    • 急性肠系膜腺炎
    • 病毒性胃肠炎
    • 梅克尔憩室炎
    更多 Differentials

  • Guidelines

    • 美国放射学会适宜性标准 (ACR Appropriateness Criteria)：急性非局限性腹痛
    • 从全球角度管理腹腔内感染：2017 年 WSES 腹腔内感染管理指南
    更多 Guidelines

  • Patient information

    Appendicitis

    More Patient information

  • Calculators

    急性生理学与慢性健康状况评分系统 II (APACHE II)

    More Calculators

  • Videos

    静脉穿刺和抽血的动画演示

    外周静脉置管的动画演示

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