KAMINSKIJ MAKSIM NIKOLAEVICH,Каминский Максим Николаевич,TASHKINOV NIKOLAJ VLADIMIROVICH,Ташкинов Николай Владимирович,PANENKOV ANDREJ NIKOLAEVICH,Панёнков Андрей Николаевич
申请号：
RU2014154600/14
公开号：
RU0002587649C1
申请日:
2014.12.31
申请国别(地区):
RU
年份:
2016
代理人:
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 exИзобретение относится к медицине, в частности к хирургии, и может быть использовано при диагностике острого аппендицита. Учитывают наличие положительных симптомов Кохера, Щеткина-Блюмберга в правой подвздошной области, Бартомье-Михельсона, наличие тошноты и/или рвоты, количества лейкоцитов в общем анализе крови -
