<?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>0034-7493</journal-id>
<journal-title><![CDATA[Revista Cubana de Cirugía]]></journal-title>
<abbrev-journal-title><![CDATA[Rev Cubana Cir]]></abbrev-journal-title>
<issn>0034-7493</issn>
<publisher>
<publisher-name><![CDATA[Editorial Ciencias Médicas]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S0034-74932018000400007</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Consideraciones vigentes en torno al diagnóstico de la apendicitis aguda]]></article-title>
<article-title xml:lang="en"><![CDATA[Current considerations on the diagnosis of acute appendicitis]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Rodríguez Fernández]]></surname>
<given-names><![CDATA[Zenén]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Hospital Provincial Docente &#8220;Saturnino Lora&#8221;  ]]></institution>
<addr-line><![CDATA[Santiago de Cuba ]]></addr-line>
<country>Cuba</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>12</month>
<year>2018</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>12</month>
<year>2018</year>
</pub-date>
<volume>57</volume>
<numero>4</numero>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_arttext&amp;pid=S0034-74932018000400007&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_abstract&amp;pid=S0034-74932018000400007&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_pdf&amp;pid=S0034-74932018000400007&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[RESUMEN  Introducción:  La apendicitis aguda es la causa más común de abdomen agudo y de intervención quirúrgica efectuada en los servicios de urgencias y a pesar de ser conocida desde tiempos remotos, su diagnóstico todavía adolece de imprecisiones que preocupan a la comunidad científica.  Objetivo: Realizar una revisión sobre los criterios vigentes en torno al diagnóstico de la apendicitis aguda a fin de profundizar en sus aspectos cognoscitivos.  Métodos:  Búsqueda digital en bases de datos Web of Science, Lilacs, Scielo, Latindex, Elsevier, PubMed, Medline y Google de publicaciones actualizadas en inglés y español.  Resultados:  En los últimos años ha descendido la mortalidad asociada a la apendicitis aguda, lo cual se atribuye a los avances tecnológicos de la cirugía y de la anestesiología y reanimación, la existencia de salas de cuidados intensivos para la atención de pacientes graves y de la utilización de antibióticos cada vez más potentes. No obstante, la morbilidad todavía refleja alta incidencia de perforaciones a pesar de la utilización de marcadores inflamatorios, los diagnósticos realizados mediante imágenes, y del desarrollo de técnicas videolaparoscópicas. Aun así, continúan realizándose apendicectomías en apéndices normales.  Conclusiones:  La clínica sigue siendo el método de elección para efectuar el diagnóstico, dado que los exámenes de laboratorio e imágenes no han logrado superarlo. Si bien constituyen una importante ayuda, toda vez que las escalas diagnósticas contribuyen a su precocidad en aras de disminuir la morbilidad y mortalidad, así como las apendicectomías innecesarias o en estadios avanzados de la enfermedad.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[ABSTRACT  Introduction:  Acute appendicitis is the most common cause of acute abdomen and surgical treatment in the emergency services, and although this disease has been known since ancient times, its diagnosis still has inaccuracies that concern the scientific community.  Objective:  To make a review of the current criteria about the diagnosis of acute appendicitis in order to delve into its cognitive aspects.  Methods:  Search of updated publications in Spanish and English in Science, Lilacs, Latindex, Elsevier, PubMed, Medline and Google databases.  Results:  In the last few years, the acute appendicitis-associated mortality has decreased due to the technological advances in surgery, anesthesiology and resuscitation, the existence of intensive care units for critically-ill patients and the use of increasingly powerful antibiotics. However, morbidity rates still show high incidence of perforations despite the use of inflammatory markers, imaging-based diagnoses and the development of videolaparoscopic techniques. Despite all this, appendicectomies continue to be performed to treat normal appendices.  Conclusions:  The clinical method remains the method of choice to make a diagnosis, since the lab and imaging tests have not been better so far. Nevertheless, they are important support because the diagnostic scales contribute to their earliness with a view to reducing morbidity and mortality as well as unnecessary appendicectomies or appendicectomy in advanced disease stagings.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[apendicitis aguda]]></kwd>
<kwd lng="es"><![CDATA[diagnóstico clínico]]></kwd>
<kwd lng="es"><![CDATA[biomarcadores]]></kwd>
<kwd lng="es"><![CDATA[imágenes]]></kwd>
<kwd lng="es"><![CDATA[escalas diagnósticas]]></kwd>
<kwd lng="en"><![CDATA[acute appendicitis]]></kwd>
<kwd lng="en"><![CDATA[clinical diagnosis]]></kwd>
<kwd lng="en"><![CDATA[biomarkers]]></kwd>
<kwd lng="en"><![CDATA[imaging]]></kwd>
<kwd lng="en"><![CDATA[diagnostic scales]]></kwd>
</kwd-group>
</article-meta>
</front><back>
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