Results: All of the patients,21 cases were detected by sonography,including 5 cases of simple acute appendicitis,6 cases of acute suppurative appendicitis,2 cases of acute gangrenous appendicitis,8 cases of chronic appendicitis and 2 cases of chronic appendicitis with acute episode.
The ultrasonographic signs of the acute appendicitis were the wall thickness ranging between 2.0 and 12.0mm, the average was (5.0± 1.2 )mm. The outer appendiceal diameters ranged between 4.0 and 27.0mm, the average was (5.6±1.1)mm.
Results There was a significant correlation between the prevalence of PHS and the pathologic subtypes of acute appendicitis,the positive PHS rates were 13( 2/15 ), 39( 18/46 ), 86( 12/14 ) for early, phlegmonous, and gangrenous appendicitis, respectively(r= 0.451 ,P< 0.001 );
Clinical and laboratory findings were compatible with acute appendicitis, but at surgery the cecum was ischemic in each case.
Analysis of the epidemiological data does not allow for an unequivocal conclusion regarding the etiopathogenesis of acute appendicitis.
Accuracy in the clinical diagnosis of acute non-specific appendicitis, however, suffers from the fact that the symptoms and clinical findings of acute appendicitis can be mimicked by many other abdominal diseases.
The clinical diagnosis of acute appendicitis, therefore, can only be definitely confirmed by pathomorphological analysis, the criteria of which are reviewed in this paper.
Special emphasis is given to distinct variants of acute appendicitis and the significance of neuroappendicopathy.
195 cases of acute abdominal diseases were detected by real-time ultrasonography.The rate of correct diagnosis was 98.97% (193/195) .All of these cases were compared with clinical, pathological findings and X-ray test. In our series the biliary ascariasis and acute cholecystitis and cholangitis were 154 (78.4%) . The others were acute pancreatitis 10, acute appendicitis 9, rupture of ectopic pregnancy 2, rupture of corpus luteum of ovary I , the renal colic with nephrolithiasis 7, perirenal hematoma 3,...
195 cases of acute abdominal diseases were detected by real-time ultrasonography.The rate of correct diagnosis was 98.97% (193/195) .All of these cases were compared with clinical, pathological findings and X-ray test. In our series the biliary ascariasis and acute cholecystitis and cholangitis were 154 (78.4%) . The others were acute pancreatitis 10, acute appendicitis 9, rupture of ectopic pregnancy 2, rupture of corpus luteum of ovary I , the renal colic with nephrolithiasis 7, perirenal hematoma 3, and acute intestinal obstruction I . The evaluation of real-time ultrasonography for acute abdominal diseases was discussed and the sonographic findings in each dissease were described. The authors believe that ultrasonography is an important method in examining acute abdominal diseases.
One hundred and ten clinical specimens from mouth, thoracic cavity, pelvis and abdominal cavity were collected. These specimens were transoorted in sutable medium & brought immediatly to our laboratory and anaerobic microorganisms were isolated and cultured with the aid of anaerobic glove box (Forma Anaerobic System, Model 1029) or Gas-Pak method. Among 110 specimens, anaerobic bacteria were isolated from 64 specimens, the frequency of isolation was 58%. Positive rate reached 100%,;in periodontitis, 85% in pulpitis,...
One hundred and ten clinical specimens from mouth, thoracic cavity, pelvis and abdominal cavity were collected. These specimens were transoorted in sutable medium & brought immediatly to our laboratory and anaerobic microorganisms were isolated and cultured with the aid of anaerobic glove box (Forma Anaerobic System, Model 1029) or Gas-Pak method. Among 110 specimens, anaerobic bacteria were isolated from 64 specimens, the frequency of isolation was 58%. Positive rate reached 100%,;in periodontitis, 85% in pulpitis, 83% in appendicil abscess and peritonitis, 39% in specimens from biliary tract, 57% in empyema of the chest, 33% in pelvic peritonitis. Anaerobic bacteria were not found in early stage of acute appendicitis and cystic goiter complicated with infection of five cases respectively. 370 strains of anaerobic bacteria were isoslated from 64 positive cases in clinical specimens. They belong to 11 genera and 32 species (74 strains unidentified). Among them, the most frequently seen were Bacteroides 45.9％ (B.fragilis were 37.6％ in Bacteroides), next, Fusobacterium and Peptostreptococeus, both of them, 15.1％. Gram-positive non-sporing bacteria 80％, Clostridium 8.9%, besides, Capnocytophaga (2.9％),veillonella(1.3％), streptococcus and Leptotriehia (both 2.9％)etc. In the direct method of micro-biochmical determination for enzyme and GLC in analysing the metabolic products. These methods were found sensitive & more valuable in indentification of anaerobic bacteria than conventional Lab. methods.
The levels of plasma endotoxin, fibronectin (Fn) and C-reactive protein (CRP) were determined quantitatively in 36 children with bacterial peritonitis, 35 with unruptured acute appendicitis, 17 with soft tissue infection and 30 controls. The results showed: (1) Enodotoxemia leads to a decrease of plasma Fn and in return the depletion of plasma Fn would make endotoxemia more severe. (2) The determinaton of Fn and CRP together with the detection of endotoxin may be helpful to the diagnosis of peritonitis....
The levels of plasma endotoxin, fibronectin (Fn) and C-reactive protein (CRP) were determined quantitatively in 36 children with bacterial peritonitis, 35 with unruptured acute appendicitis, 17 with soft tissue infection and 30 controls. The results showed: (1) Enodotoxemia leads to a decrease of plasma Fn and in return the depletion of plasma Fn would make endotoxemia more severe. (2) The determinaton of Fn and CRP together with the detection of endotoxin may be helpful to the diagnosis of peritonitis. (3) Serial determination of Fn is useful in monitoring the progress of diseasse. (4) The levels of endotoxin and Fn before operation are relatcd to the prognosis of patients.
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acute appendicitis
急性阑尾炎
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