Métodos complementarios de diagnóstico en apendicitis aguda
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2016
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Universidad de Guayaquil. Facultad de Ciencias Médicas. Escuela de Graduados
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El dolor abdominal agudo constituye la causa de mayor atención en los servicios de Emergencia. Dentro de estas, la apendicitis aguda es la más frecuente y representa el mayor porcentaje de las urgencias quirúrgicas. Se estima que una de cada quince personas presentan cuadro apendicular, con gran incidencia entre la segunda y tercera década de vida, se estima que de los apéndices extirpados el 25% son normales. Objetivo general, evaluar los métodos complementarios de diagnóstico de apendicitis aguda, en el Hospital Rafael Rodríguez Zambrano de Manta en el periodo de Enero a Junio del 2016. La metodología fue de tipo descriptiva, cuantitativo y retrospectivo, no experimental, transversal simple y aplicada. Los datos obtenidos de las historias clínicas fueron procesados en una tabla de recolección de datos y el análisis de resultado en programas Excel y SPSS, el universo fueron los pacientes atendidos en el Servicio de Emergencia y la Muestra, los pacientes ingresados por emergencia con diagnóstico de apendicitis aguda, en el hospital Rafael Rodríguez Zambrano de Manta desde Enero a Junio del 2016. Los resultados fueron de que la apendicitis se dio en el sexo masculino, en una media de 24,91 años, los síntomas principales de dolor migrante (98%), náuseas y vómitos, los signos más frecuente, dolor en el cuadrante inferior derecho (100%) y Blumberg (83%), de los métodos complementarios de diagnóstico de recuento de leucocitosis (74.32%), la neutrofília (66.67%) conjuntamente con la ecografía (84.06%), resultaron muy eficaces para el diagnóstico de apendicitis.
Acute abdominal pain is the cause of increased attention in emergency services. Among these attentions, acute appendicitis is the most frequent and represents the highest percentage of surgical urgencies. It is estimated that one in every fifteen people present appendicitis with a greater incidence between the second and third decade of life, it is also estimated that 25% of the appendices removed are normal. Overall objective was to evaluate the complementary methods of diagnosis of acute appendicitis in the Rafael Rodríguez Zambrano de Manta hospital from January to June 2016. The methodology was descriptive, quantitative and retrospective, non-experimental, simple and applied. The data obtained from the medical records were processed in a data collection table and the analysis of results in Excel and SPSS programs, the universe was the patients treated in the Emergency and Sample Service, patients admitted for emergency with diagnosis of Acute appendicitis at the Rafael Rodríguez Zambrano Hospital in Manta from January to June 2016. The results were that appendicitis occurred in males, with a mean of 24.91 years, the main symptoms of migrant pain (98% ), Nausea and vomiting, the most frequent signs, pain in the lower right quadrant (100%) and Blumberg (83%), complementary diagnostic methods leukocytosis (74.32%) and neutrophilia (66.67%) in conjunction with ultrasound (84.06%), were effective and very effective for the diagnosis
Acute abdominal pain is the cause of increased attention in emergency services. Among these attentions, acute appendicitis is the most frequent and represents the highest percentage of surgical urgencies. It is estimated that one in every fifteen people present appendicitis with a greater incidence between the second and third decade of life, it is also estimated that 25% of the appendices removed are normal. Overall objective was to evaluate the complementary methods of diagnosis of acute appendicitis in the Rafael Rodríguez Zambrano de Manta hospital from January to June 2016. The methodology was descriptive, quantitative and retrospective, non-experimental, simple and applied. The data obtained from the medical records were processed in a data collection table and the analysis of results in Excel and SPSS programs, the universe was the patients treated in the Emergency and Sample Service, patients admitted for emergency with diagnosis of Acute appendicitis at the Rafael Rodríguez Zambrano Hospital in Manta from January to June 2016. The results were that appendicitis occurred in males, with a mean of 24.91 years, the main symptoms of migrant pain (98% ), Nausea and vomiting, the most frequent signs, pain in the lower right quadrant (100%) and Blumberg (83%), complementary diagnostic methods leukocytosis (74.32%) and neutrophilia (66.67%) in conjunction with ultrasound (84.06%), were effective and very effective for the diagnosis
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DIAGNÓSTICO, APENDICITIS, MÉTODOS DE DIAGNÓSTICO, EPIDEMIOLOGÍA DESCRIPTIVA, ESTUDIOS RETROSPECTIVOS, HOSPITAL GENERAL DR. RODRÍGUEZ ZAMBRANO, CANTÓN MANTA, ECUADOR