[Clinical and pathological characteristics in acute XXXX ].

@entity1 @entity697 @entity698 @entity5 @entity532 @entity733
OBJECTIVE: To find out the clinical and pathological characteristics in acute @entity532 . METHODS: A retrospective clinical analysis was made on 742 cases of @entity697 from January 2003 to December 2012. All cases underwent appendectomy. @entity1 were allocated to the acute @entity532 (ACA) group and the acute uncomplicated @entity698 group based on pathological reports. The      test was used to check for differences between proportions. Multivariate analysis was made through the Logistic regression. RESULTS: Of 742 @entity1 , 533 were allocated to the ACA group, including acute @entity698 306 @entity1 , @entity697 100 patiets, @entity698 with perforation 59 @entity1 , @entity698 with @entity733 formation 6 @entity1 and @entity698 with @entity5 5 @entity1 . Statistical result shows that the @entity1 of ACA group usually had higher toal WBC count, local or diffuse muscle guarding, intraluminal stercolith or periappendiceal fluid. Logistic regression also indicated that ACA were mathematically related to high level white blood cell count (>20   10   /L, OR = 2.717, 95%CI: 1.834-4.027, P < 0.05), local or diffuse muscle guarding (OR = 1.649, 95%CI: 1.047-2.597, P < 0.05), intraluminal stercolith (OR = 2.939, 95%CI: 1.607-5.377, P < 0.05) and periappendiceal fluid (OR = 3.273, 95%CI: 1.424-7.525, P < 0.05). CONCLUSIONS: @entity1 with high level WBC count, local or diffuse muscle guarding, intraluminal stercolith or periappendiceal fluid are likely suffering from acute @entity532 . Appendectomy must be considered as first-line therapy other than conservative antibiotic therapy under these situations.
