ĐẶC ĐIỂM LÂM SÀNG VÀ CẬN LÂM SÀNG BỆNH NHÂN VIÊM RUỘT THỪA CẤP TẠI BỆNH VIỆN ĐA KHOA THÀNH PHỐ CẦN THƠ

Abstract

Background: Currently, appendicitis is among prevalent emergency surgical illnesses, with an incidence of about 100 cases per 100,000 individuals. However, the rate of incorrect diagnosis was still about 15%. Objectives: To describe some of the clinical, paraclinical features of acute appendicitis and compare them between patients with and without complications. Materials and methods: Between June 2021 and June 2022, a cross-sectional study on 95 patients with the diagnosis of appendicitis based on the pathological results of specimens removed after surgery was conducted at Can Tho General Hospital. SPSS 20.0 was used to analyze the data. Results: 100% of patients were admitted to the hospital due to abdominal pain, and in which the right iliac fossa was counted for the most with 93.68%. The average temperature range, which makes up 73.68%, is between 36.5 and 37.5oC. 61.05% of the cases had symptoms of anorexia, whereas 46.32% were occurrences of nausea and vomiting. The majority of occurrences of pain come at McBurney’s point, where it accounts for roughly 97.89% of all cases. An increased white blood cell count was responsible for 78.98% of the case. Ultrasonography results show an inflamed appendix in 96.84% of patients. The rate of clinical and paraclinical features of acute appendicitis between patients with and without complications was not statistically significant, p>0.05. Conclusion: Typical clinical and paraclinical features, which account for a high rate, were different between patients with and without complications. This difference was not statistically significant.