| Popis: |
The problem of diagnostics and treatment of an acute appendicitis remains extremely actual and are of special interest for system of rendering an emergency medical service as it is connected with delivery of health care in the emergency form. The assessment of evolution of surgical tactics at an acute appendicitis was a research objective. The content analysis, legal, historical, analytical, statistical methods are used. Data of the monitoring of sharp surgical pathology of abdominal organs in St. Petersburg which is carried out by the St. Petersburg Scientific Research Institute of Emergency Medicine of I. I. Dzhanelidze, normative legal documents, domestic and foreign scientific literature became material for research. Medical and diagnostic tactics at an acute appendicitis I evolved from conservative to active (quick) which dominates and now. Today it comes back to possibility of conservative treatment of its uncomplicated forms again. The stationary office of an emergency medical service allows to change routing of patients with an acute appendicitis, to provide possibility of inspection and dynamic supervision of patients within the first days from the beginning of a disease from the beginning of starting conservative therapy (single introduction of glucocorticoids and antibiotics). |
