Một số đặc điểm lâm sàng và cận lâm sàng ở bệnh nhân viêm ruột thừa cấp tại Bệnh viện Đại học Tây Nguyên năm 2021

Acute appendicitis is the most common abdominal surgical emergency occurring in all age groups. The appendix can rupture, causing severe problems to patients if not being treated quickly. In order to aid in the early diagnosis of appendicitis, we evaluated several clinical and paraclinical characteristics of 81 patients who came to the Tay Nguyen University Hospital owing to acute abdominal pain in the pelvic fossa, which was initially diagnosed as the early symptom of acute appendicitis. All these patients were monitored until surgery or within three days of hospital admission. The results showed that 77 patients suffered appendicitis with several common clinical and subclinical symptoms. Among them were 10.4% having a body temperature higher than normal (> 37.5 degrees Celsius), 100% feeling pain moving down to the right iliac fossa, and 100% showing positive for the McBurney test. In addition, the percentage of patients with a number of Leukocytes over 10,000 was 63.6% while the proportion of patients having % NEƯT higher than 75% was 49.4%. Images captured by the medical ultrasound system displayed typical signs as follows: the diameter of the appendix (> 6 mm) accounting for 93.5%; appendiceal wall thickness (> 3 mm) accounting for 87%; Non-compressible sign (92.2%).