Gambaran Penderita Apendisitis Perforata Umur 0-14 Tahun di RSUP H. Adam Malik Tahun 2006-2009

Abstract

Acute appendicitis is a situation that often happened to the children and needs an emergency abdominal surgery. The diagnosis of acute appendicitis is difficult in children, but 30-60% acute appendicitis could be perforated appendicitis. Fifty percent children with perforated appendicitis is known by doctor before being diagnosed. The risk of perforated appendicitis is mostly found in 1-4 years aged children (70-75%) and the lowest is in the adolescent (30-40%). This research aimed to know the description of perforated appendicitis in 0-14 year aged children at RSUP H. Adam Malik in 2006-2009. The research used a descriptive retrospective study which was used to evaluate the incident that had taken place. The subject of this research were all patient with perforated appendicitis. By seeing the description of the characteristics, clinical feature, laboratory examination, and radiology examination in appendectomy. Further, the data was analysed with descriptive method. Total samples that was collected in this research were 9 samples. Woman (55.5%) were found more with perforated appendicitis often did than men. Children with 5-10 years aged (55,6%) were more often suffered perforated appendicitis. Viseral pain was clinical feature that often found in patient with perforated appendicitis, followed by vomitting (55,6%), nausea (33,3%), fever (55,6%), diarrhea (11,1%) and melena (11,1%). Leucocytosis (66,7%) was the result of laboratory examination often found in patient with perforated appendicitis. Normal value of eritrosit (44,4%) and leucocytes (55,6%) mostly found in patient with perforated appendicitis. Many patient didn’t do any radiology examination because this examination was not a diagnostic examination. Based on result of the research, the description of perforated appendicitis were viseral pain and leucocytosis. Radiology examination was not always done in patient with perforated appendicitis.