Utilidad ecográfica en la sala de emergencia para el diagnóstico de apendicitis aguda
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2016
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Universidad de Guayaquil. Facultad de Ciencias Médicas. Escuela de Graduados
Resumen
Un diagnostico inoportuno de apendicitis aguda conlleva a complicaciones graves, con
desenlaces a veces fatales, se demostrará que la ecografía es necesaria para llegar al diagnóstico
y tomar acciones oportunas. El objetivo general fue Evaluar la utilidad de la ecografía en el
diagnóstico de apendicitis aguda en el hospital Luis F. Martínez de la ciudad de Cañar, desde el
periodo Marzo a Agosto del 2016. Metodología: fue de un enfoque cualitativo-cuantitativo,
correlacional. Resultados: Los aspectos relevantes fueron, los pacientes que presentaron
apendicitis, un 25% estuvieron en edades de 20 a 30 años y pertenecieron al sexo femenino, de
etnia mestiza un 33,8% y procedencia urbana con el 36,8 %. En lo que refiere al clínico
diferencial y la ecografía se demostró que el 65,2% de pacientes presentaron dolor de fosa iliaca
derecha, 16,7% nauseas, 7,6% vómito y el 6,1% anorexia. El 91% presentaron neutrófilos
alterados. En los resultados de leucocitosis estuvieron entre los rangos de 12.000 - 15.000 con el
72,1% dieron un resultado ecográfico subjetivo. En lo que se refiere a la relación entre la
ecografía y el examen histopatológico se demostró que los resultados fueron subjetivos en un
91,2%. En lo que se refiere a la propuesta que mejoraría la atención al paciente en el área de
emergencia el 88,2% respondieron que sí. Conclusiones: el rendimiento global de la ecografía
abdominal en el diagnóstico de apendicitis aguda es de alta eficiencia, debido a su accesibilidad,
bajo costo, es el examen de apoyo de elección para el diagnóstico en el servicio de urgencia,
especialmente en aquellos casos en que el cuadro clínico es dudoso
An inopportune diagnosis of acute appendicitis leads to serious complications, with sometimes fatal outcomes, it will be demonstrated that ultrasound is necessary to arrive at the diagnosis and take timely action. The general objective was to evaluate the utility of ultrasound in the diagnosis of acute appendicitis in the Luis F. Martinez Hospital in the city of Cañar, from March to August 2016. Methodology: it was a qualitative-quantitative, correlational approach. Results: The most relevant aspects were patients with appendicitis, 25% were between 20 and 30 years of age and were female, with a mixed racial group of 33.8% and urban origin with 36.8%. Regarding the differential clinician and ultrasound, 65.2% of patients had right iliac fossa pain, 16.7% nausea, 7.6% vomiting and 6.1% anorexia. 91% had altered neutrophils. In the results of leukocytosis were between the ranges of 12,000 - 15,000 with 72,1% gave a subjective ultrasound result. Regarding the relationship between ultrasound and histopathological examination, it was shown that the results were subjective in 91.2%. Regarding the proposal that would improve patient care in the emergency area, 88.2% said yes. CONCLUSIONS: The overall performance of abdominal ultrasound in the diagnosis of acute appendicitis is high efficiency, because of its low cost accessibility, is the supportive examination of choice for diagnosis in the emergency department, especially in those cases where The clinical picture is doubtful.
An inopportune diagnosis of acute appendicitis leads to serious complications, with sometimes fatal outcomes, it will be demonstrated that ultrasound is necessary to arrive at the diagnosis and take timely action. The general objective was to evaluate the utility of ultrasound in the diagnosis of acute appendicitis in the Luis F. Martinez Hospital in the city of Cañar, from March to August 2016. Methodology: it was a qualitative-quantitative, correlational approach. Results: The most relevant aspects were patients with appendicitis, 25% were between 20 and 30 years of age and were female, with a mixed racial group of 33.8% and urban origin with 36.8%. Regarding the differential clinician and ultrasound, 65.2% of patients had right iliac fossa pain, 16.7% nausea, 7.6% vomiting and 6.1% anorexia. 91% had altered neutrophils. In the results of leukocytosis were between the ranges of 12,000 - 15,000 with 72,1% gave a subjective ultrasound result. Regarding the relationship between ultrasound and histopathological examination, it was shown that the results were subjective in 91.2%. Regarding the proposal that would improve patient care in the emergency area, 88.2% said yes. CONCLUSIONS: The overall performance of abdominal ultrasound in the diagnosis of acute appendicitis is high efficiency, because of its low cost accessibility, is the supportive examination of choice for diagnosis in the emergency department, especially in those cases where The clinical picture is doubtful.
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Ultrasonografía, Apendicitis, Diagnóstico por imagen, Servicio de Urgencia en Hospital, Hospital Luis F. Martínez, Cantón Cañar, Ecuador