Articolul precedent |
Articolul urmator |
327 5 |
Ultima descărcare din IBN: 2023-12-11 20:26 |
SM ISO690:2012 ŞCERBATIUC-CONDUR, Corina, SUMAN, Lidia, ZEȚU, Diana, MALCOVA, Tatiana. Principii contemporane în diagnosticul apendicitei acute la gravide. In: Congresul consacrat aniversării a 75-a de la fondarea Universității de Stat de Medicină şi Farmacie „Nicolae Testemiţanu”, 21-23 octombrie 2020, Chişinău. Chişinău: USMF, 2020, p. 453. |
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Congresul consacrat aniversării a 75-a de la fondarea Universității de Stat de Medicină şi Farmacie „Nicolae Testemiţanu” 2020 | |||||
Congresul "Congresul consacrat aniversării a 75-a de la fondarea Universității de Stat de Medicină şi Farmacie „Nicolae Testemiţanu”" Chişinău, Moldova, 21-23 octombrie 2020 | |||||
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Background. Acute appendicitis (AA) in pregnant women is the most common cause of acute abdomen. Diagnosing AA in pregnant women is difficult and this has stimulated surgeons to develop scoring systems that could reduce the rate of misdiagnosis in these patients. Objective of the study. The study was to evaluate the accuracy of the diagnosis to decrease the number of false negative patients. Material and Methods: We evaluated 27 pregnant women diagnosed with AA who underwent appendectomy between 2013 and 2019 included in this study. Patients were evaluated according to age, clinical signs and symptoms, gestational age, laboratory parameters, surgical technique, operating time, morphopathology reports. Results. The average age of pregnant women with AA was 26.4 ± 0.9 (95% CI: 24.49-28.23) years. The duration of the disease evolution in the environment was 12.3 ± 2.1 (95% CI: 8.043-16.59) hours. The most common symptom was abdominal pain (95%). By gestational age: 11 (41%) pregnant women were in the first trimester, 12 (44%) pregnant women were in the second trimester and 4 (15%) pregnant women were in the third trimester. Laboratory data are of major importance in the complex examination: leukocytes on average 14.9 ± 1.5x109 / L (95% CI: 11.7318.12), unsegmented (deviation to the left) 12.8 ± 2.1% (95% CI: 8.575-17.11), erythrocyte sedimentation rate 22.9 ± 2.2 mm /h (95% CI: 18.24-27.5). Conclusion. Clinical and paraclinical parameters can serve as a useful tool to help surgeons examining a pregnant patient with AA to reduce the risk of a negative diagnosis. |
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Cuvinte-cheie acute appendicitis, pregnant women, Diagnosis, apendicită acută, gravide, diagnostic |
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