查詢結果分析
相關文獻
- Laboratory Aid and Ultrasonography in the Diagnosis of Appendicitis in Children
- Uncommon Sonographic Findings of Acute Appendicitis
- 超音波在疑似急性闌尾炎患者診斷上的助益
- Appendicitis Coexisted with an Incidental Carcinoid Tumor
- Predictive Inflammatory Parameters in the Diagnosis of Acute Appendicitis in Children
- 急性闌尾炎之超音波診斷及其併發症之治療原則
- A Prospective Study of Ultrasonography in the Diagnosis of Acute Appendicitis
- The Effect of Changes in the Internal Structure of a Schooling Fish on the Estimation Efficiency by Acoustic Methods
- 闌尾炎的高解像力超音波檢查
- 闌尾炎之超音波診斷
頁籤選單縮合
題名 | Laboratory Aid and Ultrasonography in the Diagnosis of Appendicitis in Children=實驗室檢查及超音波術在兒童急性闌尾炎診斷上的應用 |
---|---|
作者 | 柯毓熙; 林隆煌; 陳德芳; | 書刊名 | 中華民國小兒科醫學會雜誌 |
卷期 | 36:6 民84.11-12 |
頁次 | 頁415-419+465 |
分類號 | 417.5479 |
關鍵詞 | 闌尾炎; 超音波; C反應蛋白; 白血球計數; Appendicitis; Sonography; C-reactive protein; Leukocyte count; |
語文 | 英文(English) |
中文摘要 | 47例臨床上懷疑有闌尾炎的病童在民國八十三年六月至八十四年三月間來到本院接受檢查,他們均接受一套完整的檢查:詳細的病史及理學檢查;白血球計數及分類;紅血球沉降速率;C反應蛋白及超音波檢查。男女比為29:18,年齡分佈由4到14歲。有30例接受開刀,27例确定為闌尾炎,包括6例其闌尾已經破裂,其它3例則無闌尾炎的證據。另十七例接受臨床上的觀察,其腹痛自動緩解或證實由其它疾病引起。各項檢查的敏感性及專一性分別為:白血球增多:85.2%,65%;白血球增多合併分類異常:81.5%,70%;紅血球沉降速率上昇;40.7%,85%;C反應蛋白上昇(>0.9mg/dl):70.4%,60%;(>5mg/dl);51.9%,95%;超音波;85.2%,100%。超音波檢查有四例偽陰性而無偽陽性的發生。六例闌尾破裂的病例中有五例的C反應蛋白特別高而超過8mg/dl。超音波對於懷疑有闌尾炎的病童是一個很好鑑別診斷的工具。傳統上所使用的白血球計數及分類只能作為篩檢的方法而無法确立診斷。紅血球沉降速率並無診斷價值。C反應蛋白在疾病早期價值不高,但在疑有穿孔的病例則可作為一個診斷的參考。 |
英文摘要 | Forty-seven consecutive patients with clinically suspected acute appendicitis were studied at this hospital from June, 1994 to March, 1995. All the patients had received a complete study protocol including: detailed history and physical examination; complete blood cell count with differential count; erythrocyte sedimentation rate; C-reactive protein and sonographic examination. The male to female ratio is 29: 18. The age range is from 4 to 14 years. Thirty patients received laparotomy and 27 were diagnosed as appendicitis by histologic findings including 6 cases of perforated appendicitis. The remaining 3 patients had no evidence of appendicitis histologically. The other 17 patients were observed clinically. In these, the abdominal pain resolved spontaneously, or it was proved due to other diseases. The sensitivity and specificity of these laboratory examinations are: leukocytosis (>10,000/mm^3): 85.2%, 65%; leukocytosis with a shift-to-the-left (neutrophil> 75%): 81.5%, 70%; elevated ESR (>20mm/hr): 40.7%, 85%; elevated CRP (>0.9mg/dl). 70.4%, 65%; (>5 mg/dl): 51.9%, 95%; sonography: 85.2%, 100%. There were 4 false-negative and no false-positive ultrasonographic results in our study. Five of the 6 cases of perforated appendicitis had elevated CRP levels of more than 8 mg/dl. In conclusion, detailed history taking and physical examination are still the most reliable tools for diagnosis. For the doubtful cases, sonography can provide excellent specificity and good sensitivity for differential diagnosis. The classical tools of leukocytosis and shift-to-the-left can only provide a screening property but not for diagnosis. CRP was not a good predictor in our study, but it can be a useful parameter when perforated appendicitis is suspecte. |
本系統之摘要資訊系依該期刊論文摘要之資訊為主。