From the above two pediatric patients, in line with elaborate monograph vasculitis on abdominal sur

Rethinking soil Hengshui High School vasculitis is more important presence Original Address: Volkswagen appendix Author: Cedilanid What are the symptoms of acute appendicitis. Appendicitis in the right lower quadrant routine, a few positional variation. vasculitis Metastatic right lower abdominal pain are typical symptoms of appendicitis. Non-medical student who certainly do not know what metastatic right lower abdominal pain. In other words, pain in the upper abdomen or the beginning Cullen, hours (usually more than two hours) after transfer vasculitis to the right lower quadrant pain. There simply brutally direct right lower quadrant pain. Some patients with metastatic gastric perforation will appear right lower quadrant pain, in view of this text is the public face of the differential diagnosis vasculitis of the task to the doctors, not repeat them here. When you have the symptoms, they can do a simple self-diagnosis.
Needless to say, in general, the preferred surgical treatment of acute appendicitis. Surgery sooner, fewer postoperative complications. The doctor-patient vasculitis exchanges in appendicitis, the risk of side usually ask: diagnosed it? This is an issue of general surgery doctors often face. I have seen parents of a 11-year-old children, vasculitis repeatedly asked the doctor in charge, confirmed it? Under the current health care environment, the doctor in charge of course not promise. Replied the doctor in charge of course, undiagnosed! The risk of side undiagnosed hear whether surgery hesitant, thus prolong the timing of surgery. This case perforated appendix surgery see, the situation is worse! Do not bother with acute appendicitis, or other acute abdomen. No doctor diagnosed preoperatively say. Typically the risk of side asked me, doctor, is not suspected appendicitis diagnosed it? I would say, is not suspected, nor is diagnosed, but the initial diagnosis. I say so-called diagnostic performance based on these symptoms, physical examination findings and laboratory examinations are given the diagnosis in medicine. However, preliminary, vasculitis and not confirmed.
From the above two pediatric patients, in line with elaborate monograph vasculitis on abdominal surgery. Atypical symptoms of appendicitis in children, in addition to the children on the history of narrative difficulties. Causing distress diagnosis. Children appendix vasculitis wall is thin, easy perforation. Children omentum hypoplasia, appendicitis is difficult to be confined vasculitis to the right lower quadrant omental wrapping. Appendicitis exudate, pus stimulate intestinal peristalsis faster (diarrhea), contributed to the proliferation of appendiceal perforation and infection, peritonitis formation of the whole vicious cycle. The body resistance is weak, the mortality rate is very high. Relatively high adult patients more than 10 times. vasculitis Elderly patients with acute appendicitis, the appendix is also easy to quickly necrosis, vasculitis defense mechanisms reaction is weak, the opportunity to easily and spread of inflammation localized less, unless there is absolutely contraindicated, should be decisive surgery.
Early pregnancy, after pregnancy, acute appendicitis from January vasculitis to March, vasculitis it was argued for mild symptoms to take the non-surgical vasculitis treatment, because of that early pregnancy are not well fixed embryos in the uterus, surgical stimulation vasculitis can lead to miscarriage. Following for your reference weigh: an early pregnancy, the uterus is not, appendectomy less stimulation of the uterus, usually not abortion; two, if unfortunate miscarriage, pregnant women are also less harmful; Third, even if the non- Surgical treatment cured, but there are still six months away from childbirth, this time there is no guarantee no recurrence of appendicitis. Its second trimester, late in acute relapse, the disease is generally caused by severe difficulties in processing on the initial attack that is not as good as surgery is better. Visible, early pregnancy and general principles of treatment of acute appendicitis in patients with roughly the same, with surgical vasculitis resection is appropriate.
Acute appendicitis complicated with appendiceal abscess, admission illness has more than 48-72 hours, and inflammation has been confined to the right lower abdomen, close to the normal body temperature, or body temperature, decreased blood daily. Viable non-surgical treatment. Because vasculitis most of the appendix has been tightly wrapped, then surgery, stripping difficulties, often difficult to remove the appendix, cecal wall due to hemorrhage vasculitis and edema, prone to complications such as intestinal leakage after appendectomy. Even lead to tissue edema in the separation process of intestinal rupture, outweigh the benefits. Of course, after a short-term observation and conservative treatment ineffective if after admission, the condition tends to deteriorate. Requiring surgery. Needs to be emphasized is that for pediatric patients, regardless of the time from the onset date of admission has been long, without significant surgical contraindications, unless inflammation has been confined for several days, generally vasculitis that surgical resection is the best policy.
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