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Аппендицит (1англ)
Аппендицит (1англ)
Acute appendicitis
/1735/ -
F. Melier /1828/
, /1884 / -
. /1886/ -
History
Amanda Klaudius (1735) the successful
amputation of appendix
F. Melier (1828) described the clinic of
appendicitis with fatal outcome
Kronline, Mohamed (1884) appendectomy
R.Phits (1886) the term acute appendicitis
1980 .
22
22
22
22 22
22
22
22
22
22
22
22
22
22
22
II
III
IV
22
22
VI
VII
VIII
22
IX
2 - 4
200
80- - 0,1 - 0,2 %
1 .
1994 - 95 - -
0,08 - 0,07 %
1995 - 96 -
0%
Brunn, Ricker, - -
Lucas Championiere -
()
Aetiopathogenesis
Brunn, Ricker, Rusakov nervo-vascular
theory
Lucas Championiere role of alimentary
factor (meat)
Allergic theory
.. (1986) -
Kretz -
Faisane -
Aschoff -
( ..- ..)
I.
II. ()
III. (,
, )
IV. (,
,
, , .)
() ()
.
- ; -
( ) - 100%
, 41-42%
10-20%
( ) 2%
: 37-380 - 45%
380 - 40%
57%
Clinic
Anorexia 100%
Pain
Nausea, vomiting 41 42%
Constipation 10 20%
Diarrhea (children) 2%
Increase of temperature: 370 380C 45%
more than 380C 40%
Tachycardia 57%
77%
72%
67%
Clinic
Symptom of Kochera
Rigidity of abdominal muscles
Blunberg symptom 72%
Rovsing symptom
Sitkovski symptom
Bartome - Michelsona symptom
Mendel symptom
- :
,
;
,
:
.
,
.
.
,
,
.
,
,
,
.
, ,
,
.
:
- ,
- ,
- . . .,
- , ,
,
- .
Extraperitoneal
Right lower lobe
pneumonia
Right ureteric colic
Urinary tract infection
Right pyelonephritis
Cystitis
Rectus sheath
heamatoma
( , ).
( .. ,
, - ):
- /
,
- ,
-
, -
(, ,
).
- . - .
.
-
-
( ).
-
;
;
( )
0,3 - 0,5%
0,2 - 3,5%
0,2 - 1,5%
1,0 - 1,2%
0,15 - 1,35%
0,6 - 5,0%
Complications