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頁籤選單縮合
題名 | Application of the Mantrels Scoring System in the Diagnosis of Acute Appendicitis in Children=MANTRELS分數系統在急性闌尾炎上的臨床應用 |
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作者 | 蕭光宏; 林隆煌; 陳德芳; | 書刊名 | 臺灣兒科醫學會雜誌 |
卷期 | 46:3 民94.05-06 |
頁次 | 頁128-131+181 |
分類號 | 415.562 |
關鍵詞 | 急性闌尾炎; Mantrels分數系統; 兒童; Acute appendicitis; Mantrels scoring system; Children; |
語文 | 英文(English) |
英文摘要 | Evaluation of abdominal pain in children poses a major challenge for the pediatrician and pediatric surgeon alike. Acute appendicitis is diagnosed in 1%-8% of children who present with acute abdominal pain in pediatric department. However, initial misdiagnosis rate in childhood is still high, so how to make early and adequate diagnosis of acute appendicitis is still a challenge to pediatrician. Objective: Application of the MANTRELS scoring system (Alvarado score) was used in the diagnosis of acute appendicitis in children. Methods: We retrospectively collected a total of 111 cases under 14 years who were proven to have acute appendicitis by operative and pathologic reports and 111 cases who were excluded from having acute appendicitis as control subjects from January 2001 to July 2003. We applied the MANTRELS scores to evaluate these patients. Results: using statistical analysis, the following four parameters. migration pain, rebounding tenderness, right lower quadrant tenderness, shift WBC count and total MANTRELS scores higher than 6 were shown to have discriminatory values (P<0.01). Conclusion: assessment of the cases in children with suspected acute appendicitis by the MANTRELS scoring system can be an adjuvant method to help us in the early diagnosis of acute appendicitis. |
本系統之摘要資訊系依該期刊論文摘要之資訊為主。