A classmate of mine had appendicitis before, and when the college entrance examination was approaching, she was admitted to the hospital to have her appendix removed. During my hospitalization, I heard from my class teacher that I had appendicitis. Then some people say that the appendix is actually a useless piece of meat. I don't think so, at least not now. I always feel that everything has its meaning, we just don’t know it. A girl may have appendicitis if she has pain on the right side of her abdomen. It is a common disease. Clinically, symptoms include right lower abdominal pain, fever, vomiting, and neutrophilia. Appendicitis is inflammation of the appendix and is the most common abdominal surgical disease. The typical clinical manifestation of acute appendicitis is gradual onset of dull pain in the upper abdomen or around the umbilicus, which shifts to the right lower abdomen after a few hours. It is often accompanied by loss of appetite, nausea or vomiting. In the early stage of the disease, except for low fever and fatigue, there are usually no obvious systemic symptoms. If acute appendicitis is not treated early, it may develop into appendicitis gangrene and perforation, complicated by localized or diffuse peritonitis. Acute appendicitis has a mortality rate of less than 1%, and the mortality rate after diffuse peritonitis occurs is 5-10%. After non-surgical treatment or cure of acute appendicitis, hyperplasia and thickening of the fibrous tissue of the appendix wall, narrowing of the lumen and surrounding adhesions may be left behind. This is called chronic appendicitis, which can easily lead to another acute attack. The more attacks occur, the more serious the damage of chronic inflammation is. Acute attacks may occur repeatedly. When there is no attack, there are no symptoms or occasional mild pain in the right lower abdomen, so it is also called chronic recurrent appendicitis. If the patient has no history of acute appendicitis but complains of chronic right lower abdominal pain, it is not appropriate to easily diagnose it as chronic appendicitis and remove the appendix. Other ileocecal diseases should be excluded, such as tumors, tuberculosis, nonspecific appendicitis, Crohn's disease and mobile appendix, etc. Psychoneural factors should also be excluded, otherwise appendectomy will be difficult, and the symptoms may not be eliminated even if there are no other lesions. Although medicine is so advanced now, there are still areas that we have not explored. This also shows that we know nothing about the unknown. It is based on this that we continue to explore, whether in the field of medicine or any other field. Exploring the unknown allows us to turn what we know into what we know, and use what we know to create wealth. |
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