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1、 Acuteappendicitis圣“WangJunThesecondgeneralsurgicaldepartmentPeopleshospitalofyuxicity喜Outlines。Generalconsiderations。Historicalperspective。Anatomy。Pathophysiology。Clinicalfindings。Diagnosis。Treatment喜GeneralconsiderationsAbout8%6ofpeopleinWesterncountrieshaveappendicitisatsometimeduringtheirlife,wi
2、thapeakincidencebetween10and30yearsofage:.Acuteappendicitisisthemostcommongeneralsurgicalemergency.(1006)喜GeneralconsiderationsAcuteappendicitishasproteanmanifestations.。ItmaysimulatealImostanyotheracuteabdominalilInessandinturnmaybemimickedbyavarietyofconditions.progressionofsymptomsandsignsistheru
3、le一incontrasttothefluctuatingcourseofsomeotherdiseases:.喜Historicalperspective。WillardPackardperformedthefirstsurgeryin1867.In1886,ReginaldFizdescribedthecharacteristicclinicalfindingsandpathologyofthedisease,identifiedtheappendixastheprimarycauseofrightlowerquadrantinflammation.。Fitzcoinedthetermap
4、pendicitisandrecommendedearlysurgicaltreatment喜Historicalperspective。In1889,ChesterMcBurneydescribedcharacteristicmigratorypainaswellaslocalizationofthepainalonganobliquelinefromtheanteriorsuperioriliacspinetotheumbilicus:.。In1894,McBurneydescribedarightlowerquadrantmuscle-splittingincisionforremova
5、loftheappendix.墨Historicalperspective。Inthe1940s,themortalityratefromappendicitisimprovedwiththewidespreaduseofbroad-spectrumantibiotics.In1982,LaparoscopicappendectomywasfirstreportedbythegynecologistKurtSemmbuthasonlygainedwidespreadacceptanceinrecentyears.%mortality围巳巳口巳188019001920Penicillin1940196019802000喜Anatomy&physiologyThebaseoftheappendixislocatedattheconvergenceofthetaeniae(3)ofcolon.Thisanatomicrelationshipfacilitatesidentificationandlocationoftheappendixatoperation.
