Acute Appendicitis in Port Harcourt, Nigeria

Orient Journal of Medicine Pub Date : 2004-05-21 DOI:10.4314/OJM.V16I1.29062

E. Mangete, B. Kombo

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引用次数: 10

Abstract

Objective: To determine the pattern of occurrence of acute appendicitis in the University of Port Harcourt Teaching Hospital, Port Harcourt, Nigeria. Methods: A prospective study of patients who were admitted for acute appendicitis at the University of Port Harcourt Teaching Hospital in the 6 year period from 1984 to 1989 was undertaken. Results: Appendix pathology was confirmed in 76.6% of the patients admitted for acute appendicitis during the study period. A false diagnosis of acute appendicitis led to Appendicectomy in 23.4% of the patients, mostly females with pelvic pathology. Acute appendicitis was found to be commoner in females than males and the commonest age range was in the 11 to 30 years old group. Acute Appendicitis was also found to be commoner in the better educated social classes. The duration of hospitalization and postoperative complications were affected by late presentation to surgery but not by the status of the operating surgeon. Conclusion: Acute appendicitis was diagnosed more often in females than in males in the ratio of 2:1. Over the period of study, the incidence of acute appendicitis showed a rising trend. Key Words: Acute Appendicitis, Appendicectomy, Acute Surgical Abdomen Orient Journal of Medicine Vol.16(1) 2004: 1-3

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尼日利亚哈科特港的急性阑尾炎

目的:了解尼日利亚哈科特港哈科特大学教学医院急性阑尾炎的发生规律。方法:对1984 ~ 1989年6年间在英国哈考特港大学教学医院收治的急性阑尾炎患者进行前瞻性研究。结果:76.6%的急性阑尾炎患者在研究期间阑尾病理确诊。23.4%的患者因误诊急性阑尾炎而行阑尾切除术，多为伴有盆腔病变的女性。急性阑尾炎在女性中较男性多见，最常见的年龄范围为11 ~ 30岁。急性阑尾炎在受教育程度较高的社会阶层中也更为常见。住院时间和术后并发症受手术时间较晚的影响，而不受手术医生身份的影响。结论:急性阑尾炎女性的诊断率高于男性，比例为2:1。在研究期间，急性阑尾炎的发病率呈上升趋势。关键词:急性阑尾炎，阑尾切除术，急性外科腹部。东方医学杂志Vol.16(1) 2004: 1-3

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Orient Journal of Medicine

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