Correlación clínica-ecográfica-quirúrgica en pacientes con apendicitis aguda. Hospital José María Velasco Ibarra. Tena, 2021
ABSTRACT The proposed research work was carried out to fulfill the objective of establishing if there is a correlation between the clinical presentation, ultrasound and surgical findings in patients undergoing surgery for diagnosis of acute appendicitis in the HJMVI of the city of Tena in the year 2...
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| Aineistotyyppi: | bachelorThesis |
| Kieli: | spa |
| Julkaistu: |
2022
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| Linkit: | http://dspace.unach.edu.ec/handle/51000/9561 |
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Lisää tagi | Yhteenveto: | ABSTRACT The proposed research work was carried out to fulfill the objective of establishing if there is a correlation between the clinical presentation, ultrasound and surgical findings in patients undergoing surgery for diagnosis of acute appendicitis in the HJMVI of the city of Tena in the year 2021. For this purpose, we worked with a type of descriptive, documentary, and cross-sectional research, with a non-experimental design with a mixed and correlational approach; 91 care records of hospitalized patients diagnosed with acute appendicitis were analyzed to determine the main clinical findings, the most frequent ultrasound signs, the relevant surgical findings, and the prevalence of the stages of this disease that occurred in appendectomies. The results obtained indicate that acute appendicitis predominated in females (52.7)%, in the age group of 21 to 30 years (34.1%) and in mestizos (65.9%); the main clinical findings were: pain in RIF, nausea and vomiting, temperature rise, pain on palpation in RID, positive appendicular signs, leukocytosis and neutrophilia, 71.4% of patients presented a suggestive clinical picture, 20.9% a doubtful clinic and 50.5% of patients self-medicated; Regarding the most frequent imaging signs were: increased appendicular diameter, positive McBurney ultrasound, presence of free fluid and wall thickening, 52.7% of cases presented an image suggestive of the appendicular process, in 37.4% it was not performed ultrasound and in 9.9% it was not possible to visualize the appendix; the most common location was the retrocecal (56.0%) and in most patients the surgical intervention was performed in the gangrenous or necrotic phase (35.2%) and a large percentage presented the presence of free fluid or pus in the abdominal cavity (87.9 %); of the total cases, 94.5% were discharged with a diagnosis of acute appendicitis, 4.4% did not undergo surgery and 1.1% presented a normal appendix; The study showed that there is a clinical-surgical correlation and that an echographic image suggestive of this pathology does not have relevant diagnostic value on its own, since it must be analyzed together with the clinical picture and laboratory tests to arrive at a timely diagnosis. With the results obtained, it is recommended to carry out similar future research and to consider the possibility of creating a diagnostic-therapeutic protocol for acute appendicitis in the HJMVI. Keywords: Acute appendicitis, Clinical diagnosis, Ultrasound findings, Surgical diagnosis Reviewed by: Lcdo. Alexander Pérez Herrero ENGLISH PROFESSOR C.C. 1757815798 |
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