三岁及以下儿童急性复杂尾炎的危险因素
Jun-Jun Ju1, Tao Zhang1,2, Yuan Cheng1
1Department of General Surgery, Anhui Provincial Children's Hospital, Children's Hospital of Anhui Medical University, No.39 Wangjiang East Road, Baohe District Hefei, Hefei, Anhui, 230000, China.
BMC pediatrics
|July 27, 2024
概括
儿童尾炎的危险因素,如C反应蛋白 (CRP) 水平,最大尾直径和儿童尾炎评分 (PAS),有助于识别幼儿复杂尾炎 (CA). 这些指标的早期发现有助于及时管理.
科学领域:
- 儿科手术 儿科手术
- 胃肠病学 胃肠病学
背景情况:
- 急性尾炎 (AA) 在儿童中很常见.
- 复杂的尾炎 (CA) 需要迅速干预.
- 识别三岁以下儿童的风险因素对于早期诊断和管理至关重要.
研究的目的:
- 为了确定三岁或以下儿童复杂尾炎 (CA) 的危险因素.
- 为在这个年龄组中管理急性尾炎 (AA) 提供基础.
主要方法:
- 对135名患有AA的儿科患者进行了回顾性分析.
- 分类为复杂尾炎 (CA) (97例) 和无并发症尾炎 (UA) (38例).
- 分析临床数据,包括C反应蛋白 (CRP),最大尾直径和儿科尾炎评分 (PAS).
主要成果:
- 在CA组显示较高的CRP水平,最大尾直径和PAS.
- 多变量分析确定了CRP,最大尾直径和PAS作为CA的独立风险因素.
- 接收器操作特征 (ROC) 分析表明CRP和PAS具有显著的诊断价值.
结论:
- 细胞C反应蛋白 (CRP) 水平,儿科尾炎得分 (PAS) 和最大尾直径是三岁以下儿童中AC的独立危险因素.
- 这些参数对于早期诊断复杂尾炎非常有价值.
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