Appendicitis is divided into acute and chronic inflammation. When acute appendicitis occurs, the patient needs to go to the hospital for surgical treatment in time. For chronic appendicitis, conservative treatment with drugs can be performed, but if the pain is severe, timely surgical treatment is required. Appendicitis often causes metastatic right lower abdominal pain, which is a typical pain phenomenon, and the pain often appears continuous. What are the symptoms of appendicitis? 1. Metastatic right lower abdominal pain: Typical acute appendicitis. The abdominal pain usually starts in the upper and middle abdomen or around the navel, and the patient cannot accurately identify the exact location of the pain. After several hours or more than ten hours, the abdominal pain shifts to the lower right abdomen and becomes persistent. About 70% to 80% of patients have a history of the above abdominal pain. 2 Gastrointestinal symptoms: Acute appendicitis is usually accompanied by symptoms such as nausea, vomiting, loss of appetite, diarrhea or constipation. 3. There is an obvious tenderness point: When appendicitis occurs, there is usually an obvious tenderness point in the lower right abdomen, which is the most important feature of appendicitis. 4 Systemic symptoms: Once the disease occurs, it is often accompanied by symptoms such as dizziness, headache, and weakness. If the condition is serious, symptoms such as fever and palpitations may also occur. What are the points to pay attention to when choosing the surgical method for appendicitis 1) Acute simple appendicitis: perform appendectomy and primary suture of the incision. In units with the necessary conditions, laparoscopic appendectomy can also be performed. 2) Acute suppurative or gangrenous appendicitis: perform appendectomy. If there is pus in the abdominal cavity, it should be carefully removed, and the abdomen should be closed after the pus is wiped clean with wet gauze. Pay attention to protecting the incision and suture it once. 3) Perforated appendicitis: It is advisable to use a right lower abdominal transrectus abdominis incision to facilitate intraoperative exploration and diagnosis, remove the appendix, clear abdominal pus or flush the abdominal cavity, and place abdominal drainage according to the situation. During the operation, pay attention to protecting the incision, flushing the incision, and primary suture. Pay attention to the incision after the operation and drain it in time if there is infection. 4) Periappendiceal abscess: If the appendix abscess has not yet ruptured or perforated, it should be treated as acute suppurative appendicitis. If the appendix perforation has been wrapped to form an appendectomy abscess, the condition is relatively stable and antibiotics or Chinese medicine should be used to promote the absorption and disappearance of the abscess. Puncture and drainage or catheterization can also be performed under ultrasound guidance. If the abscess expands and has no tendency to be localized, it is advisable to perform an ultrasound examination first to determine the incision site and then perform surgical incision and drainage. Incision and drainage are mainly used for drainage. If the appendix is easy to expose, it should also be removed. If the root of the appendix is intact, simple ligation should be performed. If the root of the appendix is gangrenous and perforated, a U-shaped suture can be used to close the cecal wall at the appendix opening. Strengthen supportive treatment after surgery and use antibiotics rationally. |
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