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486 4 |
Ultima descărcare din IBN: 2023-04-12 18:12 |
Căutarea după subiecte similare conform CZU |
616.346.2-002.1-07:618.2/.3 (2) |
Заболевания пищеварительной системы. Болезнь пищеварительного тракта (1748) |
SM ISO690:2012 GHIDIRIM, Gheorghe, SUMAN, Ala, MIŞIN, Igor, ŞCERBATIUC-CONDUR, Corina, SUMAN, Serghei. Apendicitei acute la gravide prin prisma scorul Karaman. In: Chirurgia (București, Romania), 2021, vol. 116, supl. nr. 1, p. 84. ISSN 1221-9118. |
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Chirurgia (București, Romania) | ||||||
Volumul 116, Supliment nr. 1 / 2021 / ISSN 1221-9118 | ||||||
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CZU: 616.346.2-002.1-07:618.2/.3 | ||||||
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Introducere: Modificãrile fiziologice în sarcinã sunt similare celor în dezvoltatrea apendicitei acute (AA), fãcând diagnosticul extrem Introduction: Normal physiological changes in pregnancy are similar to those in the development of acute appendicitis (AA), |
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Cuvinte-cheie Scorul Karaman, Apendicita, gravide, examen morfopatologic, Karaman score, appendicitis, pregnant, morphopathological examination |
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Cerif XML Export
<?xml version='1.0' encoding='utf-8'?> <CERIF xmlns='urn:xmlns:org:eurocris:cerif-1.5-1' xsi:schemaLocation='urn:xmlns:org:eurocris:cerif-1.5-1 http://www.eurocris.org/Uploads/Web%20pages/CERIF-1.5/CERIF_1.5_1.xsd' xmlns:xsi='http://www.w3.org/2001/XMLSchema-instance' release='1.5' date='2012-10-07' sourceDatabase='Output Profile'> <cfResPubl> <cfResPublId>ibn-ResPubl-132947</cfResPublId> <cfResPublDate>2021-06-12</cfResPublDate> <cfStartPage>84</cfStartPage> <cfISSN>1221-9118</cfISSN> <cfURI>https://ibn.idsi.md/ro/vizualizare_articol/132947</cfURI> <cfTitle cfLangCode='RO' cfTrans='o'>Apendicitei acute la gravide prin prisma scorul Karaman</cfTitle> <cfKeyw cfLangCode='RO' cfTrans='o'>Scorul Karaman; Apendicita; gravide; examen morfopatologic; Karaman score; appendicitis; pregnant; morphopathological examination</cfKeyw> <cfAbstr cfLangCode='RO' cfTrans='o'><p>Introducere: Modificãrile fiziologice în sarcinã sunt similare celor în dezvoltatrea apendicitei acute (AA), fãcând diagnosticul extrem<br />de dificil, cea ce face importantã analiza testelor de laborator æi datelor clinice. Din datele literaturii se remarca semnificaåia scorului<br />Karaman în diagnosticul AA la gravide, datoritã informativitãåii înalte.<br />Metode: Retrospectiv sa examinat baza de date a 29 cazuri de gravide cu AA, confirmat prin examenul histopatologic, au fost<br />operate în departamentul chirurgie IMSP IMU, în perioada 2013-2020.<br />Rezultate: Vârsta medie a gravidelor – 26.4 ± 0.9 ani (95% CI: 24.40-28.23), termenul de gestaåie în mediu a constituit 15.8±1.3<br />sãptãmîni (95% CI:13.10-18.45). A pedominat numãrul gravidelor în al doilea trimestru (n=15), în trimestru I (n=10) æi trimestru III<br />(n=4). Timpul de la debut în mediu a constituit 12.3±2.1 ore (95% CI 8.043-16.59). Intervenåiile chirurgicale au fost efectuate sub<br />anestezie generalã, în loc tipic prin acces McBurney. Morfopatologic avem confirmate: apendicita acutã: flegmonoasã 83% (n=24)<br />pacienåi, cataralã în 3% (n=1) æi gangrenoasã în 14% (n=4). Pentru evaluarea scorului Karaman sunt necesari æase parametri<br />(anorexie, migrarea durerii în fosa iliacã dreaptã, prezenåa semnilor peritoniale specific, dureri în fosa iliacã dreaptã, leucocitozã<br />(>10×109/l), numãrul neutrophilr >70%), sistem de punctare de la +12 la -6. Conform scorului Karaman punctajul mediu a<br />constituit 9.1±0.5,cu o specificitate de 85%, sensibilitate de 88%, ce favorizeazã diagnosticul apendicitei acute æi necestitatea<br />intervenåiei chirurgicale de urgenåã.<br />Concluzie: Scorul Karaman este un sistem de punctaj nou, practic, rentabil æi fezabil, dezvoltat pe baza acuzelor, simptomelor clinice,<br />æi datelor de laborator, uæor de utilizat æi informativ.</p></cfAbstr> <cfAbstr cfLangCode='EN' cfTrans='o'><p>Introduction: Normal physiological changes in pregnancy are similar to those in the development of acute appendicitis (AA),<br />making the diagnosis extremely difficult, which makes important the analysis of laboratory tests and clinical data. From the anglosaxon<br />literature, the significance of the Karamanla score in AA diagnosis in pregnant, is thanks to high information.<br />Methods: Retrospectively, the the database was examined 29 pregnancies cases with AA, confirmed by morpho pathological<br />examination, were operated in the IMSP IMU Surgery Department during 2013-2020.<br />Results: Average age of pregnant - 26.4 ± 0.9 years (95% CI: 24.40-28.23), the mean gestation term was 15.8 ± 1, 3 weeks (95%<br />CI: 13.10-18.45). It increased the number of pregnancies in the second trimester (n = 15), in the first trimester n = 10, and the third<br />trimester n=4. The time from onset to the media was 12.3 ± 2.1 hours (95% CI 8.043-16.59). Surgery interviews was performed<br />using general anesthesia, in typical place McBurney's. Morpho pathological we have confirmed: 83% (n=24) phlegmonous appendicitis,<br />bluetongue - 3% (n=1) and 14% gangrene (n=4). For the evaluation Karaman Score, 6 parameters are needed (anorexia,<br />migraine pain in the right iliac fossa, presence of specific peritoneal signs, pain in the right iliac fossa, leukocytosis, leukocyte lesion<br />to the left), scoring system from +12 to -6, cutoff point 9.1 ± 0.5, specificity 85%, sensivity 88%, confirming the presence of acute<br />appendicitis and the need for emergency surgery.<br />Conclusion: The Karaman score is a new, practically cost effective and feasible score system developed based on accusations,<br />clinical symptoms, and laboratory data, easy to use and informative.</p></cfAbstr> <cfResPubl_Class> <cfClassId>eda2d9e9-34c5-11e1-b86c-0800200c9a66</cfClassId> <cfClassSchemeId>759af938-34ae-11e1-b86c-0800200c9a66</cfClassSchemeId> <cfStartDate>2021-06-12T24:00:00</cfStartDate> </cfResPubl_Class> <cfResPubl_Class> <cfClassId>e601872f-4b7e-4d88-929f-7df027b226c9</cfClassId> <cfClassSchemeId>40e90e2f-446d-460a-98e5-5dce57550c48</cfClassSchemeId> <cfStartDate>2021-06-12T24:00:00</cfStartDate> </cfResPubl_Class> <cfPers_ResPubl> <cfPersId>ibn-person-232</cfPersId> <cfClassId>49815870-1cfe-11e1-8bc2-0800200c9a66</cfClassId> <cfClassSchemeId>b7135ad0-1d00-11e1-8bc2-0800200c9a66</cfClassSchemeId> <cfStartDate>2021-06-12T24:00:00</cfStartDate> </cfPers_ResPubl> <cfPers_ResPubl> <cfPersId>ibn-person-42674</cfPersId> <cfClassId>49815870-1cfe-11e1-8bc2-0800200c9a66</cfClassId> <cfClassSchemeId>b7135ad0-1d00-11e1-8bc2-0800200c9a66</cfClassSchemeId> <cfStartDate>2021-06-12T24:00:00</cfStartDate> </cfPers_ResPubl> <cfPers_ResPubl> <cfPersId>ibn-person-11744</cfPersId> <cfClassId>49815870-1cfe-11e1-8bc2-0800200c9a66</cfClassId> <cfClassSchemeId>b7135ad0-1d00-11e1-8bc2-0800200c9a66</cfClassSchemeId> <cfStartDate>2021-06-12T24:00:00</cfStartDate> </cfPers_ResPubl> <cfPers_ResPubl> <cfPersId>ibn-person-72309</cfPersId> <cfClassId>49815870-1cfe-11e1-8bc2-0800200c9a66</cfClassId> <cfClassSchemeId>b7135ad0-1d00-11e1-8bc2-0800200c9a66</cfClassSchemeId> <cfStartDate>2021-06-12T24:00:00</cfStartDate> </cfPers_ResPubl> <cfPers_ResPubl> <cfPersId>ibn-person-33820</cfPersId> <cfClassId>49815870-1cfe-11e1-8bc2-0800200c9a66</cfClassId> <cfClassSchemeId>b7135ad0-1d00-11e1-8bc2-0800200c9a66</cfClassSchemeId> <cfStartDate>2021-06-12T24:00:00</cfStartDate> </cfPers_ResPubl> </cfResPubl> <cfPers> <cfPersId>ibn-Pers-232</cfPersId> <cfPersName_Pers> <cfPersNameId>ibn-PersName-232-2</cfPersNameId> <cfClassId>55f90543-d631-42eb-8d47-d8d9266cbb26</cfClassId> <cfClassSchemeId>7375609d-cfa6-45ce-a803-75de69abe21f</cfClassSchemeId> <cfStartDate>2021-06-12T24:00:00</cfStartDate> <cfFamilyNames>Гидирим</cfFamilyNames> <cfFirstNames>Георгий</cfFirstNames> </cfPersName_Pers> </cfPers> <cfPers> <cfPersId>ibn-Pers-42674</cfPersId> <cfPersName_Pers> <cfPersNameId>ibn-PersName-42674-2</cfPersNameId> <cfClassId>55f90543-d631-42eb-8d47-d8d9266cbb26</cfClassId> <cfClassSchemeId>7375609d-cfa6-45ce-a803-75de69abe21f</cfClassSchemeId> <cfStartDate>2021-06-12T24:00:00</cfStartDate> <cfFamilyNames>Суман</cfFamilyNames> <cfFirstNames>Алла</cfFirstNames> </cfPersName_Pers> </cfPers> <cfPers> <cfPersId>ibn-Pers-11744</cfPersId> <cfPersName_Pers> <cfPersNameId>ibn-PersName-11744-2</cfPersNameId> <cfClassId>55f90543-d631-42eb-8d47-d8d9266cbb26</cfClassId> <cfClassSchemeId>7375609d-cfa6-45ce-a803-75de69abe21f</cfClassSchemeId> <cfStartDate>2021-06-12T24:00:00</cfStartDate> <cfFamilyNames>Mishin</cfFamilyNames> <cfFirstNames>Igor</cfFirstNames> <cfFamilyNames>Мишин</cfFamilyNames> <cfFirstNames>Игорь</cfFirstNames> </cfPersName_Pers> </cfPers> <cfPers> <cfPersId>ibn-Pers-72309</cfPersId> <cfPersName_Pers> <cfPersNameId>ibn-PersName-72309-2</cfPersNameId> <cfClassId>55f90543-d631-42eb-8d47-d8d9266cbb26</cfClassId> <cfClassSchemeId>7375609d-cfa6-45ce-a803-75de69abe21f</cfClassSchemeId> <cfStartDate>2021-06-12T24:00:00</cfStartDate> <cfFamilyNames>Щербатюк-Кондур</cfFamilyNames> <cfFirstNames>Корина</cfFirstNames> </cfPersName_Pers> </cfPers> <cfPers> <cfPersId>ibn-Pers-33820</cfPersId> <cfPersName_Pers> <cfPersNameId>ibn-PersName-33820-2</cfPersNameId> <cfClassId>55f90543-d631-42eb-8d47-d8d9266cbb26</cfClassId> <cfClassSchemeId>7375609d-cfa6-45ce-a803-75de69abe21f</cfClassSchemeId> <cfStartDate>2021-06-12T24:00:00</cfStartDate> <cfFamilyNames>Суман</cfFamilyNames> <cfFirstNames>Сергей</cfFirstNames> </cfPersName_Pers> </cfPers> </CERIF>