ABDOMINAL EMERGENCIES IN A TROPICAL AFRICAN POPULATION
ABDOMINAL EMERGENCIES IN A TROPICAL AFRICAN POPULATION
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DOI：
10.1002/bjs.1800680519
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发表时间：
1981-01-01
影响因子：
9.6
通讯作者：
AJAO, OG
中科院分区：
文献类型：
--
作者：
AJAO, OG
十年前，在许多热带非洲国家，肠梗阻是普通外科腹部急诊入院的最常见原因。近年来，这一模式发生了变化，急性阑尾炎已成为急诊入院的主要原因。大多数肠梗阻病例是由于梗阻性（绞窄或嵌顿）腹股沟疝。肠道蛔虫是一个下降的原因肠梗阻，而结直肠癌现在是一个重要的鉴别诊断。道路交通事故造成的创伤越来越频繁。胆囊疾病不是主要问题;提示急性胆囊疾病的症状更可能是由于西非环境中的阿米巴脓肿。
A decade ago intestinal obstruction was the commonest cause of general surgical abdominal emergency admissions in many tropical African countries. Recently, there has been a change in this pattern and acute appendicitis has become the major cause of emergency admissions.Most cases of intestinal obstruction are due to obstructed (strangulated or incarcerated) groin hernia. Intestinal ascariasis is a declining cause of intestinal obstruction while colorectal cancer is now an important differential diagnosis. Trauma due to road traffic accidents is increasing in frequency. Gallbladder disease is not a major problem; symptoms suggestive of acute gallbladder disease are more likely to be due to an amoebic abscess in the West African environment.