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????????????? - ?????????? ?????????????

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????????????? ?????????????
?????????????
???????? Epityphlitis [1]
????????????????????????? ?????????
???????? ??????????????
????? ??????? ???????????, ??????? , ?????????? [2]
???????????? ????????????????????? , ???????????????????? [3]
???????????? ????????????????, ????????????????????? , ???????????? [4]
?????????????????? ????????????????????????????? , ?????????????? , ??????????????????? , ?????????????????????????? [5]
???????? ?????????????????????? , ?????????? [6] [7]
??????? 11.6 ?????? (2015) [8]
???????????? 50,100 (2015) [9]
??????????????????? ????????????????

????????????? ( ?????? : appendicitis ) ???????????? ????????? ??? ??????? [2] ???????????????????????? ??????? ????????????????? ???????? ??????? ?????????? [2] ????????????????? 40% ??????????????????????????????? [2] ?????????????????????????????????????????????? ????????? ??????????????????????????? ??? ???????????????????? ??? [3]

?????????????????????????????????? ???????? ???????????? [10] ?????????????????????????????????????? ???????????? [6] ??????????????????????????????????? ??????????????????? ????????????????????????????? ???????????? ????? ???? ???????? [6] ???????????????????????????????????????? ???????????????????????????????????????????????? ????????????????????????????????????????????????????? [6] [11] ????????????????? ??????????? ???????????????????????????????????????????????????? ?????????????????????????????? [12] ???????????????????? ????????????????????????? ?????????????????????????????????? ?????????????????????????? ???????? [12] [13]

????????????????????????????????????????????????????????????? [11] ????????????????????????????????????????? ??????????????? ?????????????????????????????????????????????????? [4] ???? ?????????????????? ??????????????????????????????????????? ??????????????????????????????? ??? ?????????????????????? (????????) [4] ????????????????????????????????????????????? [14] ??????????? ???????????????????????????????????????????????????????????????????????????????????????????????? ???????????????????????????????????????????????????????????????????? [4]

????????????????????????? ?????????????????????? [6] [11] ???????? ?????????????????? ???? ?????????????????? ????? ?????????????????????????????????????????????????????????????????????????????????????????????????????????????????? [3] ?????? ?????????? ????????????????????????????????????????????????????????????????????????????????????????????????????????????????? [7] ????????????????????????????? ????????????????????? ?????????????????????????????????? ???????? ?.?. 2015 ???????????????????????? 11.6 ?????? ??????????????????????? 50,100 ?? [8] [9] ??????????????????????????????????????????????????????????????????????????????????????????????????? [2] ????????????????????????? 300,000 ???????????????????????????????????????????????????????????? [15] Reginald Fitz ???????????????????????????????????????????????? ?.?. 1886 [16]

??????? [ ??? ]

?????????????????????? ???????????????? ??????????????????????????? ????????????????????????????? vermiform appendix (???????????) ???????????????? 8-10 ????????? (???????????????? 2-20 ?????????) ????????????????????????????????????? ???????????????????????? (lymphoid follicle) ?????????????????? ????????????????????????????????????????????????????????????????? 8-20 ??

?????? [ ??? ]

??????????????????????????????????????????????????????????????????????????????????????? [17] [18] ???????????????????????????????? ???????????????????????????????????????????????????? ????????????????????????????????????????????????????????? ???? ????????? ?????? ?? ????????? ???????? ????????????????????? ????? ??? ????????? ????????????????????????????????????????????????????????????????? ?????????????????????????????? ???????? ??? ???????????? ?? ????????????????????????????????????????????????????????????????????? ???? ???? ??????? ? ??????? ????????????????????????????????????????????????????????????????????????? ???????????????? ???????????????? ??? ????????? ???

????????????????? ? ?????????????????????? ???? ?????????????????? ????? ?????? ????? ????????????????????????????????????????????? ??????????? ???????? ????????????????????????????????????????????????????????? ??????????????? ????????? ???????????????? [19] ?????????????????????????????????????????????????????????????????????????????? [20] ????????????? ??????? ??????????????? ??????????????????????????????????????????? ?????????????? ???????????????????????????????????????????????? [21] ??????????????????????????????????????????????????????? ??????? ?????? ????????????????? ????????????????????????????????????? [22] ???????????? ?????????? ????????????????????????????????????????????? ???????????? ??????????????? ???? ????????? ??? ???????????? ??????????????? ??????? [23] [24] ????????????????????????????????????????????????????????????????????????????????????????? [25] ????????????????????????? ????? ????? ????? ??????????????????????????????????????? [26] [27] [28] ????????????????????????????????????????????????????????????????????????????????????????? [29]

????? [ ??? ]

??????????????????????????????????????????????????????? ????????????????????????????????????? ?????????????????????????????????????????????????????????????????????????? ??? ????????? ????? ??????????????????????????????????????????? ?????????????????????????????????????????????? ????????????????????? ???????????????????????????????????????????????????????????????????????????????????????????????????????????????????? ??????????????? ?????? ????????????????? ????????????????????????????????????????? ????????????????????????????? ?????????? ????? ??? ?????????????????????????????????????????????? ?????????? ???????? ??? ??????? ?????? ??????? ???????????????? ????????????????????????? ?????????????????????????? ???????????????? ????????? ??????????????????????????

??????????????????????????????????????????????????????????????????????????????????? ???????? ???????????????????????????????????????????? ???????????????????????????? ?????????????? ??????????????? ??????? ???? ??????????????????????????????? ???????????????? ??????????????????????????? ?????????????????????? [30]

???????????????????????????????????????????????????????? ????????????????????????????????????? ??????????????? "??????????????????????????????????? ? ??????????????????????????????????????????????? ??????????????????????????????????..." [31]

????????? [ ??? ]

???????????????????????????????????????????????????????????????? ? ??????? ??????? ?????? ??????? ???????????????????????????????????????????? ???????????????????? (rebound tenderness) ??????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????? ?????????????? ??????????????????????????????????????????????????????????????????????????????????????????? ????????????? ?????????????????? ??????????????????? rectovesical pouch ??? ?????????? ? ???????????????????????? ???? ????? ???????????????????????????? McBurney's point ???????????????????????????????????????????????????????????? ?????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????? ??????????????????????????????

Rovsing's sign [ ??? ]

?????????????????? iliac fossa ???????????????????????????????????? iliac fossa ?????????? ???????????????? Rovsing's sign ???? Rovsing's symptom ???????????????????????????????????? [32]

Psoas sign [ ??? ]

???????????????????????????????????????????????????? psoas ??????????????????????????????????????????????????

Obturator sign [ ??? ]

??????????????????????????????????????? obturator internus ??????????????????????????????????????????????????????????? ?????????????????????????????????????????????????????????

???????? [ ??? ]

????????????????????????????

????????????????????? ?????????????????????? ( ?????? : Appendectomy ) ????????????????????????????????????????????? ??????????????????????? ????????????????????????? ?????? ??????????????????????? ??????????? ?????????? (???? cefuroxime , metronidazole ) ??? ??????????? ???????????????????????????????????????????????????????????????????? ????????????????????????????????????? ???????????????????????????????????? ??????????? ????????????????????? ??????????????????????????????????????

??????????????????????????????????????? ??????????????????????????????????????? ?????????????????????????????????????????????????????????? McBurney's point ???????????????????????? ???????????????????????????????????????????????????? gridion (????????) ?????????? ????????????????????????????????????????????????????????????????????????????????????????????? ?.?. 2551 [33]

?????????? [ ??? ]

???????????????????????????????????????????????????????????????????????????????? ????????????????????????????????????????????????????????????? ??????????????????????????????????????

???????????????????????? ????????????????????????? 1% ??? ????????????????????????????????????????????????????????????????????? ?????????????????????????????????????? ????????????????????????????????????????????????????? ??????????????????????????? 1-5%

?????????????????? [ ??? ]

??????????????????????????????????????????????????????????????????????????????? ????????????????????????????????????????????????????????????????????????????????????????? ???????????????????????????????????????????????????????????????????????????? ?????????????????????????????????????????? ???????????????????????????????????????????????????????? ? ???????????????? ????????????????????????????????????? ? ??????????????? ???????? ???????????????????????????????? ? ???????????????????????????????? ??????????????????????????????????????????????????????????????? ???????????????????????????????? ???????????????????????????????????????? ??????????????????????????????????????? ?????????????????????????????? (?????+???????? ???/???? ?????????????????) ????????????????????????????? ???????????????????????????????????????????????????? ???????????????????????????????

????????????? [ ??? ]

??????????????????????????????????????????????????????????????????????? Lorenz Heirster ??????????? ??????????????? Altdorf, Franconia ???? ?.?. 2254 ???????????? [34] ????????????????????????????????? Claudius Amyand ????????? ???????????? ??? Amyan ?????????????????????? ?.?. 2278 ????????? ????? ???????????????????????????????? [35] ????? Reginald H. Fitz ??????????????????????????????? ???????????????????? ???????????????????????????????? ?.?. 2429 ????????????????????????????????????????????? 257 ???? ?????????????????????????????????????????????? ? ????????????????????????????????????????? [34] ??????????? ????????? Fitz ??????????????? ??????????????????????????????????????????????? [35] ???????????????????????? ????????? 19 ?????????????????? H. Hancock ???????????????????????????????????????????????????????????????????????????? ????????????????????? C. McBurney ??? ??????? ????????????????????????????????????????????????????????????????????????????? [36] McBurney ?????????????????????????????? McBurney point, McBurney incision ??? McBurney's sign [37]

???????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????

??????? [ ??? ]

  1. "appendicitis" . Medical Dictionary . Merriam-Webster. ????????????????????? ????????? ????? 2013-12-30.
  2. 2.0 2.1 2.2 2.3 2.4 Graffeo, Charles S.; Counselman, Francis L. (November 1996). "Appendicitis". Emergency Medicine Clinics of North America . 14 (4): 653?71. doi : 10.1016/s0733-8627(05)70273-x . PMID   8921763 .
  3. 3.0 3.1 3.2 Hobler, K. (Spring 1998). "Acute and Suppurative Appendicitis: Disease Duration and its Implications for Quality Improvement" (PDF) . Permanente Medical Journal . 2 (2). ????????????????????? ????????? (PDF) ????? 2021-03-06 . ??????????? 2019-05-18 .
  4. 4.0 4.1 4.2 4.3 Paulson, EK; Kalady, MF; Pappas, TN (16 January 2003). "Clinical practice. Suspected appendicitis" (PDF) . The New England Journal of Medicine . 348 (3): 236?42. doi : 10.1056/nejmcp013351 . PMID   12529465 . ????????????????????? ????????? (PDF) ????? 2017-09-22 . ??????????? 2019-05-18 .
  5. Ferri, Fred F. (2010). Ferri's differential diagnosis : a practical guide to the differential diagnosis of symptoms, signs, and clinical disorders (2nd ed.). Philadelphia, PA: Elsevier/Mosby. p. Chapter A. ISBN   978-0323076999 .
  6. 6.0 6.1 6.2 6.3 6.4 Longo, Dan L.; ??????, ?.?. (2012). Harrison's principles of internal medicine (18th ed.). New York: McGraw-Hill. p. Chapter 300. ISBN   978-0-07174889-6 . ????????????????????? ????????? ????? 30 March 2016 . ??????????? 6 November 2014 .
  7. 7.0 7.1 Varadhan KK, Neal KR, Lobo DN (2012). "Safety and efficacy of antibiotics compared with appendicectomy for treatment of uncomplicated acute appendicitis: meta-analysis of randomised controlled trials" . The BMJ . 344 : e2156. doi : 10.1136/bmj.e2156 . PMC   3320713 . PMID   22491789 .
  8. 8.0 8.1 GBD 2015 Disease and Injury Incidence and Prevalence, Collaborators. (8 October 2016). "Global, regional, and national incidence, prevalence, and years lived with disability for 310 diseases and injuries, 1990-2015: a systematic analysis for the Global Burden of Disease Study 2015" . Lancet . 388 (10053): 1545?1602. doi : 10.1016/S0140-6736(16)31678-6 . PMC   5055577 . PMID   27733282 . {{ cite journal }} : |first1= ????????????????? ( help )
  9. 9.0 9.1 GBD 2015 Mortality and Causes of Death, Collaborators. (8 October 2016). "Global, regional, and national life expectancy, all-cause mortality, and cause-specific mortality for 249 causes of death, 1980-2015: a systematic analysis for the Global Burden of Disease Study 2015" . Lancet . 388 (10053): 1459?1544. doi : 10.1016/s0140-6736(16)31012-1 . PMC   5388903 . PMID   27733281 . {{ cite journal }} : |first1= ????????????????? ( help )
  10. Pieper R, Kager L, Tidefeldt U (1982). "Obstruction of appendix vermiformis causing acute appendicitis. One of the most common causes of this is an acute viral infection which causes lymphoid hyperplasia and therefore obstruction. An experimental study in the rabbit". Acta Chirurgica Scandinavica . 148 (1): 63?72. PMID   7136413 .
  11. 11.0 11.1 11.2 Tintinalli, editor-in-chief Judith E. (2011). Emergency medicine : a comprehensive study guide (7. ed.). New York: McGraw-Hill. p. Chapter 84. ISBN   978-0-07-174467-6 . ????????????????????? ????????? ????? 22 December 2016 . ??????????? 6 November 2014 . {{ cite book }} : |first1= ????????????????? ( help )
  12. 12.0 12.1 Schwartz's principles of surgery (9th ed.). New York: McGraw-Hill, Medical Pub. Division. 2010. p. Chapter 30. ISBN   978-0-07-1547703 .
  13. Barrett, ML; Hines, AL; Andrews, RM (July 2013). "Trends in Rates of Perforated Appendix, 2001?2010" (PDF) . Healthcare Cost and Utilization Project Statistical Brief #159 . PMID   24199256 . ????????????????????? ????????? (PDF) ????? 2016-10-20.
  14. Shogilev, DJ; Duus, N; Odom, SR; Shapiro, NI (November 2014). "Diagnosing appendicitis: evidence-based review of the diagnostic approach in 2014" . The Western Journal of Emergency Medicine (Review). 15 (7): 859?71. doi : 10.5811/westjem.2014.9.21568 . PMC   4251237 . PMID   25493136 .
  15. Mason, RJ (August 2008). "Surgery for appendicitis: is it necessary?". Surgical Infections . 9 (4): 481?8. doi : 10.1089/sur.2007.079 . PMID   18687030 .
  16. Fitz RH (1886). "Perforating inflammation of the vermiform appendix with special reference to its early diagnosis and treatment". American Journal of the Medical Sciences (92): 321?46.
  17. Wangensteen OH, Bowers WF (1937). "Significance of the obstructive factor in the genesis of acute appendicitis". Arch Surg . 34 : 496?526. (??????)
  18. Pieper R, Kager L, Tidefeldt U (1982). "Obstruction of appendix vermiformis causing acute appendicitis. An experimental study in the rabbit". Acta Chir Scand . 148 (1): 63?72. PMID   7136413 . {{ cite journal }} : CS1 maint: multiple names: authors list ( ????? ) (??????)
  19. Jones BA, Demetriades D, Segal I, Burkitt DP (1985). "The prevalence of appendiceal fecaliths in patients with and without appendicitis. A comparative study from Canada and South Africa" . Ann. Surg . 202 (1): 80?2. PMC   1250841 . PMID   2990360 . {{ cite journal }} : CS1 maint: multiple names: authors list ( ????? ) (??????)
  20. Nitecki S, Karmeli R, Sarr MG (1990). "Appendiceal calculi and fecaliths as indications for appendectomy". Surg Gynecol Obstet . 171 (3): 185?8. PMID   2385810 . {{ cite journal }} : CS1 maint: multiple names: authors list ( ????? ) (??????)
  21. Arnbjornsson E (1985). "Acute appendicitis related to faecal stasis". Ann Chir Gynaecol . 74 (2): 90?3. PMID   2992354 . (??????)
  22. Raahave D, Christensen E, Moeller H, Kirkeby LT, Loud FB, Knudsen LL (2007). "Origin of acute appendicitis: fecal retention in colonic reservoirs: a case control study". Surg Infect (Larchmt) . 8 (1): 55?62. doi : 10.1089/sur.2005.04250 . PMID   17381397 . {{ cite journal }} : CS1 maint: multiple names: authors list ( ????? ) (??????)
  23. Burkitt DP (1971). "The aetiology of appendicitis". Br J Surg . 58 (9): 695?9. PMID   4937032 . (??????)
  24. Segal I, Walker AR (1982). "Diverticular disease in urban Africans in South Africa". Digestion . 24 (1): 42?6. PMID   6813167 . (??????)
  25. Arnbjornsson E (1982). "Acute appendicitis as a sign of a colorectal carcinoma". J Surg Oncol . 20 (1): 17?20. PMID   7078180 . (??????)
  26. Burkitt DP, Walker AR, Painter NS (1972). "Effect of dietary fibre on stools and the transit-times, and its role in the causation of disease". Lancet . 2 (7792): 1408?12. PMID   4118696 . {{ cite journal }} : CS1 maint: multiple names: authors list ( ????? ) (??????)
  27. Adamis D, Roma-Giannikou E, Karamolegou K (2000). "Fiber intake and childhood appendicitis". Int J Food Sci Nutr . 51 : 153?7. {{ cite journal }} : CS1 maint: multiple names: authors list ( ????? ) (??????)
  28. Hugh TB, Hugh TJ (2001). "Appendicectomy--becoming a rare event?" . Med. J. Aust . 175 (1): 7?8. PMID   11476215 . (??????)
  29. Gear JS, Brodribb AJ, Ware A, Mann JI (1981). "Fibre and bowel transit times" . Br. J. Nutr . 45 (1): 77?82. PMID   6258626 . {{ cite journal }} : CS1 maint: multiple names: authors list ( ????? ) (??????)
  30. http://digestive.niddk.nih.gov/ddiseases/pubs/appendicitis/#1 ???????? 2010-02-01 ??? ?????????????? National Digestive Diseases Information Clearinghouse (NDDIC)
  31. Van Winter Jo T (1998). "Chronic appendicitis: does it exist?" . Journal of Family Practice . 46 (6): 507?9. ???? ????????????????? 2012-07-08 . ??????????? 2009-02-19 . There are no typical findings or routine diagnostic modalities to diagnose chronic relapsing appendicitis. It is a diagnosis of exclusion... (??????)
  32. N. T. Rovsing: Indirektes Hervorrufen des typischen Schmerzes an McBurney's Punkt. Ein Beitrag zur diagnostik der Appendicitis und Typhlitis. Zentralblatt fur Chirurgie, Leipzig, 1907, 34: 1257-1259. (??????)
  33. Palanivelu C, Rajan PS, Rangarajan M, Parthasarathi R, Senthilnathan P, Prasad M (March 2008). "Transvaginal endoscopic appendectomy in humans: a unique approach to NOTES-world's first report" . Surg Endosc (??????????). doi : 10.1007/s00464-008-9811-5 . PMID   18347865 . {{ cite journal }} : CS1 maint: multiple names: authors list ( ????? )
  34. 34.0 34.1 Ellis, Harold (1986-12-20). "The 100th birthday of appendicitis". Br Med J (Clin Res Ed). (??????????). 293 (6562): 1617?8. PMID   3101942 .
  35. 35.0 35.1 Santacroce, Luigi; Juan B Ochoa (2008-08-14). "Appendicitis" (??????????). eMedicine . ??????????? 2009-02-20 .
  36. McBurney, C. (1891). "II. The Indications for Early Laparotomy in Appendicitis". Ann Surg (??????????). 13 (4): 233?54. PMID   17859535 .
  37. Juan B Ochoa. "Charles McBurney" (??????????). whonamedit.com . ??????????? 2009-02-20 .

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