Document Type : Original Article
Authors
1 Instructor, Department of Midwifery, School of Nursing and Midwifery, Sabzevar University of Medical Sciences, Sabzevar, Iran
2 Assistant Professor, General Surgeon, School of Medicine, Sabzevar University of Medical Sciences, Sabzevar, Iran
Abstract
Introduction: Appendicitis is one of the medical emergencies and one of the most common causes of acute and severe abdominal pain worldwide. If appendicitis is not treated in time, the inflamed tissue of the appendix ruptures, followed by peritonitis and shock. Because the process of appendicitis is an inflammatory process, the acute phase proteins and whole blood bilirubin appear to produce high levels in the serum under these conditions.
Materials and Methods: The present study is a descriptive cross-sectional study that was conducted in 2014-2015 with the participation of 208 patients over 15 years of age with symptoms of acute appendicitis referred to the emergency department of Dr. Beheshti in Sabzevar. In order to check the level of total bilirubin, 2 cc blood samples were taken from the patients before injecting any antibiotics and performing surgery. After the operation, macroscopic findings such as appendix size, perforation or absence during surgery and pathological findings were collected by the researcher.
Results: The results showed that there was a significant relationship between total bilirubin and perforation in terms of macroscopy and pathology (p< 0.001).
Conclusion: There is a significant relationship between whole blood bilirubin level before surgery and acute appendicitis perforation and can be used along with clinical signs as a laboratory criterion to predict perforation.
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