ĐẶC ĐIỂM LÂM SÀNG, CẬN LÂM SÀNG CỦA CÁC BỆNH NHÂN BỊ VIÊM RUỘT THỪA CẤP ĐƯỢC ĐIỀU TRỊ BẰNG PHẪU THUẬT NỘI SOI TẠI BỆNH VIỆN BẠCH MAI

Abstract

This study describes the clinical and paraclinical characteristics of 71 patients with acute appendicitis who underwent laparoscopic appendectomy at Bach Mai Hospital from June 2023 to June 2024. Clinically, 78.9% of patients presented with pain in the right iliac fossa, 67.6% experienced nausea and vomiting, 42.3% had anorexia, 25.4% had diarrhea, and 15.5% reported difficulty with bowel movements. Physical examination showed that 94.4% had tenderness at McBurney's point and 29.6% had abdominal guarding. Paraclinically, ultrasound detected an appendiceal diameter larger than 7 mm in 84.5% of patients, while 14.1% had non-visible appendices. Laboratory results revealed 42.3% of patients had a white blood cell count > 15 G/L, and 75% had elevated CRP-hs levels (>0.5 mg/dl). CT scans identified perforated appendicitis in 71.4% of cases.