留学生阑尾炎课件（最终版）（可编辑）.doc

Acute Acute Appendicitis Appendicitis an acute inflammation of appendix an acute inflammation of appendix 72014-1-10 1Historical Background 2014-1-10 2 There is evidence in the literature that alchemists and physicians in the 1500srecognized the existence of a clinicalentity associated with severe inflammation of the cecal region, known as “perityphlitis” perityphlitis 2014-1-10 3Although the first successful appendectomy was reported in 1736, it was not until 1886 that Reginald Fitz helped established the role of surgical removal of the inflamed appendix as curative therapy for this disease, which was once thought to be fatal 2014-1-10 4? In 1889, Charles Mcburney presented hisclassic report on the importance of early operative intervention for acute appendicitisFive years later, he devised the muscle- splitting incision which today bears his name 2014-1-10 5INCIDENCE 2014-1-10 6? Remains one of the most common acute surgical diseasesRoughly parallels that of lymphoid development, with the peak incidence in early adulthood100/100,0001975 to 52/100,0001991 2014-1-10 7? Approximately 7% of individuals in western countries develop appendicitis at sometime during their lives,and about 200,000 appendectomies for acute appendicitis are performed annually in the USA? The rate of normal appendectomy averages 16%68% female 2014-1-10 8ANATOMY AND FUNCTION 2014-1-10 9? The appendix, like a earthworm, is a structure connected to the cecum, its average length is 5-10 cm and itis 0.5-0.7 cm in diameter An immunologic organ which actively participates in the secretion of IgA 2014-1-10 10?After the age 60,virtually no lymphoid tissue remains within the appendix ?An integral component of the gut-associated lymphoid tissue,it`s function is not essential 2014-1-10 11Appendix is at the base of cecum,the meeting of three colic bands. Appendix is at the base of cecum,the meeting of three colic bands. Anterior band Ileum Ileocecal