What is appendicitis?
Appendicitis is a very common acute abdomen. The appendix, also known as the worm-like process, is a slender blind tube in the cecum. The appendix of the human body varies in length and location, usually 7~9 cm long, and is located in the iliac fossa of the right lower abdomen. The proximal end of the appendix is connected with the cecum, and the end is blind. The submucosa of the appendix is rich in lymphoid tissue, which often proliferates, narrowing or blocking the appendix cavity. Feces, stones, parasites, etc. It usually stays in the appendix cavity. These factors will lead to poor drainage of the contents of the appendix cavity, especially because the appendix artery is the terminal artery with poor blood supply. Once the blood circulation is disturbed for some reason, it is easy to cause ischemia, necrosis and inflammation of the appendix.
What is the harm of appendicitis?
1. When suffering from acute appendicitis, infectious thrombus in the appendix vein can reach the portal vein along the superior mesenteric vein, leading to suppurative portal vein inflammation and further developing into sepsis and other diseases.
2. Patients with acute appendicitis often have symptoms such as loss of appetite, nausea and vomiting, and the mortality rate is below 1%; Moreover, when diffuse peritonitis occurs, the mortality rate is 5 ~ 10%, and the consequences are very serious.
3. If acute appendicitis is treated conservatively, such as infusion, fibrous tissue hyperplasia and thickening of the appendix wall, it can leave narrow lumen and surrounding adhesion, develop into chronic appendicitis, and then lead to another acute attack of appendicitis.
4. If acute appendicitis is not treated early, there will be perforation and suppuration of the appendix, causing serious complications such as diffuse peritonitis. Moreover, intestinal obstruction often occurs due to intestinal adhesion, which makes the quality of life of patients very low.
What are the symptoms of appendicitis?
Appendicitis is a common inflammation in surgery, and its clinical symptoms are: L. Pain in the right lower abdomen; 2. Nausea and vomiting; 3. Constipation, abnormal stool or diarrhea; 4. Low fever; 5. Loss of appetite and bloating. Appendicitis is a common inflammation in surgery. Abdominal pain begins in the upper abdomen, under the xiphoid process or around the navel. After about 6-8 hours, abdominal pain gradually moved down and finally fixed in the right lower abdomen. When coughing, sneezing or pressing, the right lower abdomen hurts. Appendicitis is a common inflammation in surgery, and the pain is generally in the right lower abdomen.
How should appendicitis be treated?
The most effective and common treatment for appendicitis is surgical resection. If the patient is in an early stage, the diseased appendix should be removed in time; However, if the patient's condition has formed an abscess around the appendix, the patient should be treated with drugs first, and then the appendix should be removed after the abscess is absorbed. Complications such as incision infection, intestinal fistula and portal phlebitis may occur after operation. If appendicitis is not treated promptly and effectively, it may develop into localized peritonitis, that is, suppurative appendicitis, and active surgical treatment should be taken.