查詢結果分析
相關文獻
- Predictive Inflammatory Parameters in the Diagnosis of Acute Appendicitis in Children
- 單次衰竭運動後對血脂蛋白、發炎反應與組織損傷之影響
- Leukocyte Adhesion Deficiency Disorder: Report of One Case
- Gallbladder Wall Thickening in a Child with Infectious Mononucleosis: Report of a Case
- Acute Appendicitis Manifested as Scrotal Tenderness: A Case Report
- Acute Appendicitis in Situs Inversus: A Case Report
- 年輕成年女性之急性闌尾炎
- Acute Appendicitis: A Study of 497 Patients
- 無影像學下診斷急性闌尾炎的再審視
- 可能誤診為急性闌尾炎的克隆氏症--一病例報告
頁籤選單縮合
題名 | Predictive Inflammatory Parameters in the Diagnosis of Acute Appendicitis in Children=診斷兒童急性闌尾炎之預測性發炎參數 |
---|---|
作者 | 吳漢屏; 張進富; 林清淵; Wu, Han-ping; Chang, Chin-fu; Lin, Ching-yuang; |
期刊 | 臺灣兒科醫學會雜誌 |
出版日期 | 20030700、20030800 |
卷期 | 44:4 民92.07-08 |
頁次 | 頁227-231+258 |
分類號 | 417.62441 |
語文 | eng |
關鍵詞 | 白血球增多; 嗜中性球; C反應蛋白; 急性闌尾炎; Leukocytosis; Neutrophil; C-reactive protein; Acute appendicitis; |
中文摘要 | 急性闌尾炎是兒童急性腹症手術中最常見的原因,但由於急性闌尾炎的不易診斷,使得誤率及闌尾破裂率居高不下。爲了探究能早期診斷兒童急性闌尾炎之相關因素,本研究採回溯性分析自2001年1月至2002年12月之中,260位18歲以下並於臨床診斷疑似包性闌尾炎而接受手術之病童,其中163包括位男性及97位女性,而根據病理切片報告,統計出本院急性闌尾炎之正確診斷率爲81.5%,非闌尾炎之闌尾切除率爲18.5%。我們依據病童的血液實驗室檢驗報告分析出,當同時結合了白血球增多,嗜中性球比例增加與C反應蛋白昇高這三者時,診斷包性闌尾炎之專一度及陽性預測值亦隨之提高。引外,根據多變項回歸分析的統計結果顯示,對於在急性闌尾炎的診斷中,具有顯著意義的相關因素爲嗜中性球比例增加(Odds ratio=3.79,百分之95信賴區間=1.732-8.293,p<0.001)及C反應蛋白昇高(Odds ratio=2.81,百分之95信賴區間=1.231-6.390,p<0.05)。因此,本研究的結論:在血液的發炎參數中,嗜中性球及C反應蛋白兩者,可被視爲早期診斷兒童急性闌尾炎之預測參數。 |
英文摘要 | Acute appendicitis is the most common abdominal surgical emergency in children. In order to determine the related factors for early diagnosis of acute appendicitis in children, we analyzed retrospectively from January 2001 to December 2002 the hospital records of 260 consecutive patients under 18 years of age operated on because of suspected acute appendicitis. The patients group comprised 163 males (62.7%) and 97 females (37.3%) with a mean age of 11.1±4.3 years (range from 0 to 18 years old). The accurate diagnostic rate of acute appendicitis in children was 81.5 percent and negative appendicectomy rate was 18.5 percent When combining leukocytosis, elevated neutrophil count and elevated C-reactive protein, the specificity and positive predictive value in diagnosing acute appendicitis were increased. According to the application of multivariate logistic regression analysis, the significantly related factors in acute appendicitis were elevated neutrophil count (Odds ratio 3.79, 95% confidence interval=1.732-8.293, p<0.001) and elevated C-reactive protein concentration (Odds ratio 2.8], 95% confidence interval=1.231-6.390, p<0.05). In conclusion, total neutrophil count and C-reactive protein may serve as predictive parameters for early diagnosis of acute appendicitis in children. |
本系統之摘要資訊系依該期刊論文摘要之資訊為主。