急性阑尾炎穿孔的影响因素分析

Analysis of Factors Influencing the Perforation of Acute Appendicitis

摘要: 急性阑尾炎是全球最常见的急腹症之一，治疗方式分为手术治疗和非手术治疗。而阑尾穿孔为阑尾炎发展的终末阶段，具有很大的风险，即使经过适当的治疗，其后果也会导致住院时间延长、发病率和死亡率增加。如果在穿孔发生前及时诊断，这种情况可以通过简单的手术来预防。穿孔性阑尾炎患者的处理与非穿孔性阑尾炎患者有很大不同，因此，术前鉴别穿孔性阑尾炎非常重要。本文回顾了相关文献并描述了白细胞、中性粒细胞、C反应蛋白、胆红素、纤维蛋白原、平均血小板体积。年龄等影响因素有助于判断阑尾穿孔发生的可能，改善预后。

Abstract: Acute appendicitis is one of the most common acute abdominal conditions worldwide, and treat-ment is divided into surgical and non-surgical options. Appendiceal perforation, however, is the end stage of appendicitis development and carries a high risk of consequences leading to prolonged hospitalization and increased morbidity and mortality, even after appropriate treatment. This con-dition can be prevented by simple surgery if diagnosed in time before perforation occurs. The management of patients with perforated appendicitis is very different from that of patients with nonperforated appendicitis; therefore, it is important to identify perforated appendicitis preopera-tively. This article reviews the relevant literature and describes leukocytes, neutrophils, C-reactive protein, bilirubin, fibrinogen, and mean platelet volume. Age and other influencing factors can help to determine the possibility of appendiceal perforation and improve the prognosis.