CLINICAL-SONOSCOPIC SCALE FOR DIAGNOSIS OF ACUTE APPENDECTOMY

摘要

FIELD: medicine.;SUBSTANCE: invention can be used in diagnosing of acute appendectomy. Account is taken of positive Kocher, Schetkin-Blumberg principles in the right iliac region, of Bartomje-Mikhelson symptoms, of presence of nausea and/or vomiting, of leukocytes in clinical blood analysis - 10*10⁹/l and more, of sonoscopic detection of incompressible appendix with a diameter of 7 mm and more, of presence of ultrasonic signs of non-appendicular acute abdominal pathology and/or sonoscopic detection of compressible appendix with a diameter of less than 7 mm. Points are assigned: in case of positive Kocher symptom: + "plus" 1.5 points; positive Shchyotkin-Blumberg symptom in the right iliac region + "plus" 1.5 points; positive Bartomje-Mikhelson symptom + "plus" 1.5 points; presence of nausea and/or vomiting + "plus" 1 point; increase in the number of leukocytes in the clinical blood analysis up to 10×10⁹/l and more + "plus" 1.5 points; sonoscopic detection of incompressible appendix with a diameter of 7 mm and more + "plus" 3 points; presence of ultrasonic signs of non-appendicular acute abdominal pathology and/or sonoscopic detection of compressible appendix with a diameter of less than 7 mm - "minus" 3 points. If the total score is 3 and more, acute appendectomy is diagnosed. If the total score is 2 and less, diagnosis of acute appendectomy is excluded. If the total score is 2.5, for more precise diagnosis of acute appendectomy it is recommended to conduct diagnostic laparoscopy or dynamic follow-up.;EFFECT: method increases efficiency of diagnostics of acute appendectomy by taking into account signs of non-appendicular abdominal pathology.;1 cl, 3 dwg, 1 tbl, 5 ex