<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>1405-0099</journal-id>
<journal-title><![CDATA[Cirujano general]]></journal-title>
<abbrev-journal-title><![CDATA[Cir. gen]]></abbrev-journal-title>
<issn>1405-0099</issn>
<publisher>
<publisher-name><![CDATA[Asociación Mexicana de Cirugía General A.C.]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S1405-00992014000200087</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Prevalencia de apendicitis aguda en un centro de segundo nivel de atención]]></article-title>
<article-title xml:lang="en"><![CDATA[Prevalence of Acute Appendicitis in a Second Level Care Center]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Rodríguez González]]></surname>
<given-names><![CDATA[Héctor Manuel]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Portillo Yáñez]]></surname>
<given-names><![CDATA[Itzel Elena]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Soto Fajardo]]></surname>
<given-names><![CDATA[Rosa Carina]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Martínez Hernández]]></surname>
<given-names><![CDATA[José Enrique]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Morales Chávez]]></surname>
<given-names><![CDATA[Norma Angélica]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,IMSS Departamento de Cirugía General ]]></institution>
<addr-line><![CDATA[ Querétaro]]></addr-line>
<country>México</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>00</month>
<year>2014</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>00</month>
<year>2014</year>
</pub-date>
<volume>36</volume>
<numero>2</numero>
<fpage>87</fpage>
<lpage>90</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_arttext&amp;pid=S1405-00992014000200087&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_abstract&amp;pid=S1405-00992014000200087&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_pdf&amp;pid=S1405-00992014000200087&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen Objetivo: Evaluar la utilidad y la efi cacia de la Escala diagnóstica de Alvarado, exámenes de laboratorio y gabinete en la apendicitis aguda en una serie de casos clínicos intervenidos quirúrgicamente Material y métodos: Se revisaron 152 casos clínicos de pacientes sometidos a cirugía con diagnóstico de apendicitis aguda en un período de un año, de acuerdo a la escala diagnóstica de Alvarado y en correlación con estudio histopatológico; se identificó además tiempo de evolución, sexo y edad. Resultados: De los 152 casos revisados, 88 pacientes fueron del sexo masculino y 64 del sexo femenino, con edad promedio de 27.8 años, tiempo de evolución del cuadro clínico antes de ingresar al hospital de 37.5 horas. El síntoma más común fue el dolor en el cuadrante inferior derecho (98.6%); y Blumberg, migración del dolor, náusea o vómito, anorexia, temperatura por arriba de 37.2 °C, leucocitos y necrofilia en el 71%, 50.6%, 75.6%, 39.4%, 42.1%, 92.7%, y 90.7%, respectivamente. El 7.89% de las apendicetomías fueron negativas, infl amación apendicular 47.9%, gangrenosa 11.8%, perforada con peritonitis localizada 19%, perforada con peritonitis generalizada 13.1%. Ningún paciente fue reportado histopatológicamente con algún tumor, ni parásitos. El Ultrasonido se utilizó en el 11.1% de los casos y la Tomografía Axial computarizada en el 1.9%. Conclusión: El diagnóstico de apendicitis es principalmente clínico y es un reto para el médico de primer contacto así como para el cirujano que se encuentra en unidades que no cuentan con estudios de imagen.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract Objective: To evaluate the usefulness and effectiveness of the diagnostic scale Alvarado, laboratory and imaging tests in acute appendicitis underwent a series of clinical cases surgically Material and methods: Clinical records of 152 patients who underwent surgery with a diagnosis of acute appendicitis September 2012 to September 2013 according to the diagnostic scale Alvarado and correlated with histopathology, duration, sex and age were reviewed. Results: Of the 152 files reviewed, 88 patients were male and 64 female, mean age was 27.8 years, time of onset of symptoms before admission 37.5 hours. The most common symptom was pain in the right lower quadrant in 98.6%, Blumberg 71%, 50.6% migration of pain, nausea or vomiting 75.6% , 39.4% anorexia, temperature above 37.2 °C 42.1% , 92.7% leukocytosis, 90.7% neutrophilia. The 7.89% of the appendectomies were negative, appendice infl ammation 47.9%, 11.8% gangrenous, perforated with localized peritonitis 19%, and perforated with generalized peritonitis 13.1%. No patient was reported histopathologically with a tumor, or parasites. Ultrasound was used in 11.1% of cases and Computed Tomography in the 1.9%. Conclusion: The diagnosis of appendicitis is primarily clinical and is a challenge for the primary care physician and the surgeon found in units that do not have imaging studies.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[Apendicitis]]></kwd>
<kwd lng="es"><![CDATA[Apendicitis aguda]]></kwd>
<kwd lng="es"><![CDATA[Apendicectomía]]></kwd>
<kwd lng="es"><![CDATA[Morbilidad]]></kwd>
<kwd lng="es"><![CDATA[Cirugía]]></kwd>
<kwd lng="en"><![CDATA[Appendicitis]]></kwd>
<kwd lng="en"><![CDATA[Acute appendicitis]]></kwd>
<kwd lng="en"><![CDATA[Appendectomy]]></kwd>
<kwd lng="en"><![CDATA[Morbidity]]></kwd>
<kwd lng="en"><![CDATA[Surgery]]></kwd>
</kwd-group>
</article-meta>
</front><back>
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