Practical Medical Chinese: Clinical Surgery

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Author: Wang Xingyue;
Language: Chinese-English
Format: Paperback
Page: 284
Publication Date: 08/2009
ISBN: 9787560089454
Table of Contents
第一课 普通外科(一)
第二课 普通外科(二)
第三课 泌尿外科
第四课 神经外科(一)
第五课 神经外科(二)
第六课 胸外科
第七课 心脏外科
第八课 骨科(一)
第九课 骨科(二)
第十课 烧伤科
附录一 录音文本
附录二 练习答案
Sample Pages Preview
Appendicitis can be either acute or chronic. Acute appendicitis is a common surgical disease and the most common cause of acute abdomen. Most of the time chronic appendicitis evolves from acute appendicitis. Acute appendicitis is usually caused by obstruction of the lumen. Strenuous exercises after meals are a common cause of acute appendicitis.
Acute appendicitis can be classified into the following 4 groups according to its clinopathological features:
1. acute simple appendicitis
2. acute purulent appendicitis
3. acute gangrenous perforated appendicitis
3. periappendiceal abscess
Major clinical manifestations:
1. migrating pain in right lower quadrant
2. gastrointestinal symptoms, such as nausea, vomiting, and so on
3. systematic symptoms, such as fatigue, fever, and so on
Common signs:
1. tenderness in the fight lower quadrant over McBurneys point
2. peritoneal irritations, such as tenderness, rebound pain and muscle tonus
3. masses in fight lower quadrant
4. others, such as Rovsings sign
Laboratory investigations show that the white blood cell count and neutrophil ratios of a blood routine test usually increase. Routine urine tests, serum amylase, and ultrasonolograpy can be used to make differential diagnoses.
Non-surgical treatment is recommended for simple appendicitis. Surgery is often recommended for confirmed acute appendicitis.
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