Ampicillin Plus Egg Treatment for Bedsores: 19 Cases
ACTAACADEMIAEMEDICINAEZUNYI Vol.28 No.4 Aug. 2005
The difference in cure time for bedsores was significant.
4 Discussion: Pressure sores are a common clinical complication in hospitals, with an incidence rate of 2%. They are especially more prevalent among patients who have prolonged bed rest, spinal cord injuries, fractures, and elderly patients, often concurrently suffering from incontinence and hypoproteinemia. In terms of treatment, besides necessary systemic nutritional support to keep the wound area clean and smooth, local drug treatment is particularly important for shortening the course of treatment and relieving pain. The traditional method of treating pressure sores aims to keep the injured area as dry as possible to prevent bacterial infection, absorb and remove wound exudate. However, making the wound moist has become an important subject in modern medical research since it protects granulation tissue and helps the epithelialization of wounds. For small-area (less than 5cm) superficial bedsores, wet compresses using egg endometrial Phoenix clothing show good effect. Ampicillin has anti-infective and anti-inflammatory efficacy. Eggs and Phoenix clothing possess moisture convergence, nutrition supply, and promote the growth of granulation tissue, improving local wound microcirculation, accelerating lesion tissue repair. Application of ampicillin plus egg keeps the wound healing in a moist condition, aligning with the new concept of modern medical treatment for pressure sores. The treatment results show that ampicillin plus egg shorten the time to cure bedsores, reduce medical costs, and the drug source is easy to use, showing a significant effect, thus being a good treatment.
[Editor: Yang Ming Cream Received Date 2005-05.16]
Reason Analysis of 41 Misdiagnosed Cases as Acute Appendicitis by Chen Jun (Surgery Department, Xiuwen County People’s Hospital, Guizhou Province, Revised Text 550 200)
[Abstract] Objective: To investigate reasons for misdiagnosis as acute appendicitis. A retrospective analysis of 41 cases misdiagnosed as acute appendicitis between 1992-2004. Results: Among these, there were 16 surgical diseases, 23 gynecological diseases, one internal disease, and one case of skin disease misdiagnosed. Appropriate surgery was performed on 30 cases, including removal of the appendix. Conclusion: Insufficient attention by doctors and lack of knowledge and experience in differential diagnosis of acute appendicitis lead to misdiagnosis.
Key words: appendicitis; diagnosis; misdiagnosed
[CLC] R574.061 [Document code] B [Article ID] 1000-2715 (2005) 04-0375-01
Acute appendicitis surgery is one of the common acute abdomen treatments. In clinical work, it is easily confused with other acute abdomen conditions leading to misdiagnosis as acute appendicitis. Retrospective analysis of 1160 confirmed acute appendicitis cases surgically repaired in our hospital from 1992 to 2004 showed 41 cases of misdiagnosis, accounting for 3.5% (41/1160).
Clinical Data:
1.1 General Information: Among the 41 misdiagnosed cases, 10 were male, aged 6-78 years old, with an average age of 42; and 31 females (including 20 women of childbearing age), aged 14-62 years old, with a mean age of 43 years.
1.2 Clinical Manifestations: All 41 cases had right lower quadrant pain and tenderness, nausea, vomiting, diarrhea in 20 cases, fever of varying degrees in five cases, increased leukocytes and neutrophils in 35 cases out of 38 cases. Time of visit after abdominal pain was 1-4 days, averaging 2.4 days.
1.3 Disease Classification: Among the 41 misdiagnosed cases, inflammation of the right side of the annex or pelvic inflammatory disease occurred in 10 cases, accounting for 24.3% (10/41); ovarian follicle or corpus luteum cyst rupture on the right side in 5 cases, accounting for 12.2% (5/41); right ovarian cyst torsion in four cases, accounting for 9.8% (4/41); ectopic pregnancy in four cases, accounting for 9.8% (4/41); mesenteric lymphadenitis in four cases, accounting for 9.8% (4/41); peptic ulcer wear larvae L3 in three cases, accounting for 7.3% (3/41); typhoid intestinal wear larvae L2 in two cases, accounting for 4.9% (2/41); right ureter stones in two cases, accounting for 4.9% (2/41); ascending colon issues in two cases, accounting for 4.9% (2/41); Meckel's diverticulum (n=1), accounting for 2.4% (1/41); acute cholecystitis in one case, accounting for 2.4% (1/41); ileocecal inflammation in one case, accounting for 2.4% (1/41); right renal cyst rupture in one case, accounting for 2.4% (1/41); herpes zoster in one case, accounting for 2.4% (1/41).
Treatments and Outcomes of 41 Cases: Among the 23 misdiagnosed gynecological disease cases, intraoperative gynecological consultation led to appropriate treatment. The remaining 18 misdiagnosed cases included peptic ulcer wear larvae L and typhoid intestinal wear larvae L repairs in four cases, radical right colon resection in two cases, right ureteral calculus in two cases, Meckel's diverticulum resection in one case, right kidney cyst excision, cholecystectomy in one case, ileocecal inflammation in one case, and herpes zoster in one case treated accordingly.
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