【摘要】 笔者12年(1974.10—1986.9)来将阑尾炎病人随机分两组进行了对照研究。第一组按症状体征顺序出现诊断阑尾炎142例,误诊1例,误诊率0.7％;第二组用常规方法诊断100例,误诊8例,误诊率8％。两组相比,有非常显著意义(P<0.01)。此结果表明,阑尾炎的症状发生顺序非常有助于阑尾炎的诊断;反之则须仔细检查以免误诊。阑尾炎的症状发生顺序为先腹痛,而后恶心或/和呕吐,最后右下腹痛或/和压痛。体温和白细胞的改变对阑尾炎的诊断缺乏意义。更多还原

【Abstract】 Durng the twelve years(1974.10—1986.9)1518 cases with appendicitis were operated on 242 cases of them were divided into two groups at random.the first group comprised 142 cases, who were diagnosed with the help of occurence order of symptoms.the second group comprised 100 cases, who were diagnosed with conventional method. One case was misdignosed in the former(0.7％),and eight cases in the latter(8%)(P<0.01).This result shows that symptoms occuring in sequence are greatly helpful in diagnosising appendicitis.Otherwise other examinations should be done in order to avoid misdiagnosis.The sequence of symptoms are abdominal pain, nausea and/or vomiting,and pain and/or tender in the right lower quadrant.The changes of temperature and WBC are of little value.更多还原