急性虫垂炎における保存的治療の限界　その成否にかかわる経時的予知

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  • The Limitation of Conservative Therapy in Acute Appendicitis. The Criteria How to Foreknow It's Result.
  • The Criteria How to Foreknow It's Result
  • その成否にかかわる経時的予知

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Of 206 patients with acute appendicitis who visited our hospital during the last 3 years and 9 months, 65 patients did not undergo immediate surgery: 50 were successfully treated conservatively (group A), and 15 underwent surgery after conservative treatment (group B). We compared group A with group B as to clinical course and examined the criteria how to foreknow the result of conservative therapy. On ultrasonographic examination, the cases whose ultrasonographic diagnosis was positive were 18.8% in group A, 86.7% in group B. On clinical course in group A, WBC had decreased to 60% on day 1, 50% on day 2 incomparison with the WBC at admmition. C-reactive protein was less than 3 plus (3.2-5.9mg/dl) at admission and on day 1, and had decreased after day 2 or day 3. Body temperature was less than 37.0°C on day 1 and had decreased after day 2. There was not this tendency in group B. These results were usefull in how to foreknow the result of conservative therapy in acute appendicitis.

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