儿科内肠接评分的队列分析,以诊断内肠接
Punwadee Rukwong1, Nathawit Wangviwat2, Teerasak Phewplung3
1Department of Pediatrics, Phrapokklao Hospital, Chantaburi 22000, Meuang, Thailand.
在儿童中,可以改进输血阻塞诊断. 儿科内肠吸收评分 (PIS),结合临床症状和腹部放射 (AR),显示了更高的灵敏度比单独AR及时管理.
科学领域:
- 儿科胃肠病学 儿科胃肠病学
- 诊断成像 诊断成像 诊断成像
- 临床儿科 临床儿科
背景情况:
- 肠接是幼儿肠道阻塞的主要原因,延迟诊断增加了发病率.
- 虽然超声波 (USG) 是黄金标准,但其对操作员的依赖性和有限的可用性在资源有限的环境中带来了挑战.
研究的目的:
- 为了评估腹部X光学 (AR) 的诊断准确性,以检测腹腔内.
- 通过使用临床特征和AR发现,评估拟议的儿科内分数 (PIS) 的实用性.
主要方法:
- 从2006年至2018年,对97名怀疑患有肠分泌的儿童进行了回顾性分析.
- 审查了临床数据,AR图像和USG发现;评估了PIS诊断值.
主要成果:
- 常见的症状包括易怒/腹痛 (86.7%) 和吐 (59.2%).
- 年龄6个月-2岁,白,可触摸的质量和阳性AR是显著的歧视因素 (P <0.05).
- PIS的灵敏度为85.7%,明显高于单独的AR (59.2%).
结论:
- 仅腹部放射学就具有有限的查价值,以检测腹腔内.
- 整合临床表现和AR的PIS增强了诊断灵敏度,以便及时管理.
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