[急性尾炎的成年人中与正常白细胞计数和C-反应蛋白相关的因素:回顾性队列研究]
C S Yamir1, J Caballero-Alvarado1,2, K Lozano-Peralta1
1Antenor Orrego Private University, Trujillo, Peru.
Khirurgiia
|August 14, 2024
概括
在患有急性尾炎的成年人中,农村起源和自我治疗与正常的炎症标志物如白细胞计数和C反应蛋白 (CRP) 相关. 这一发现挑战了典型的诊断假设.
科学领域:
- 医学研究 医学研究
- 临床诊断 临床诊断 临床诊断
- 炎症标记物 炎症标记物
背景情况:
- 急性尾炎的诊断通常依赖于炎症标志物升高.
- 一部分患有急性尾炎的患者呈现出正常白细胞计数和C反应性蛋白 (CRP).
- 了解与正常炎症参数相关的因素对于准确的诊断和管理至关重要.
研究的目的:
- 在被诊断患有急性尾炎的成年人中,确定与正常白细胞计数和CRP相关的人口和临床因素.
- 为了调查急性尾炎病例中正常炎症参数的患病率.
主要方法:
- 对333名成年患者 (18-60岁) 进行回顾性队列研究,这些患者接受了急性尾炎手术.
- 分析变量,包括起源,自我治疗,并发症,尾炎类型和术前因素.
- 使用SPSS版本28将患者分为正常和异常的炎症参数组.
主要成果:
- 11.11%的急性尾炎患者表现出正常的炎症参数.
- 多变量分析确定农村起源和自我治疗是与正常炎症参数相关的重要因素.
- 白内障尾炎在正常炎症参数组中更为普遍,该组的手术前时间也较长.
结论:
- 该研究强调,11.11%的急性尾炎病例可能具有正常的炎症标志物.
- 农村起源和自我治疗是与急性尾炎中正常白细胞计数和CRP相关的关键因素.
- 这些发现表明,在诊断尾炎时需要考虑非传统因素,特别是在特定患者群体中.
相关概念视频
Appendicitis-II: Diagnostic Studies and Management
73
Diagnosing and managing appendicitis requires a structured and comprehensive approach that spans from initial assessment to postoperative care. Here is an overview of the process:
Diagnosing Appendicitis
It requires a multifaceted approach, starting with a detailed physical examination to pinpoint the location and nature of the pain and identify any associated symptoms. Laboratory tests play a crucial role. A complete Blood Count (CBC) typically reveals leukocytosis (an increased number of...
Diagnosing Appendicitis
It requires a multifaceted approach, starting with a detailed physical examination to pinpoint the location and nature of the pain and identify any associated symptoms. Laboratory tests play a crucial role. A complete Blood Count (CBC) typically reveals leukocytosis (an increased number of...
73
Appendicitis-I: Introduction
100
The appendix, a small, narrow, blind tube extending from the inferior part of the cecum, is widely regarded as a vestigial organ, having lost much of its original function through evolution. Despite its diminished role, the appendix can become inflamed, a condition known as appendicitis.
Etiology: Appendicitis can arise from various causes, primarily rooted in the obstruction of the appendix lumen. Factors contributing to this obstruction include fecal accumulation, lymphoid hyperplasia and, in...
Etiology: Appendicitis can arise from various causes, primarily rooted in the obstruction of the appendix lumen. Factors contributing to this obstruction include fecal accumulation, lymphoid hyperplasia and, in...
100
Inflammatory Response II: Inflammatory Exudate and Tissue Repair
4.8K
The immune system's inflammatory response destroys the invading pathogen, permitting the tissue to heal. The changes during the cellular and vascular stages allow exudate formation at the site of inflammation. The inflammatory exudate released from the wound has high protein content and a specific gravity above 1.020.
The typical wound exudate is odorless, transparent, straw-colored, thin, and watery. Exudate, however, can differ depending on the state of wound healing. Likewise, the...
The typical wound exudate is odorless, transparent, straw-colored, thin, and watery. Exudate, however, can differ depending on the state of wound healing. Likewise, the...
4.8K
Inflammation
53.2K
Overview
53.2K
Disorders of Leukocytes
923
Leukocyte disorders can lead to either leukopenia, characterized by an abnormally low leukocyte count, or leukocytosis, marked by a very high leukocyte number.
Leukopenia may result from bone marrow disorders, autoimmune diseases, and infectious diseases. For example, conditions such as multiple myeloma and aplastic anemia can impair the bone marrow's ability to produce adequate leukocytes. Similarly, autoimmune diseases like lupus and viral infections such as HIV can prompt the immune...
Leukopenia may result from bone marrow disorders, autoimmune diseases, and infectious diseases. For example, conditions such as multiple myeloma and aplastic anemia can impair the bone marrow's ability to produce adequate leukocytes. Similarly, autoimmune diseases like lupus and viral infections such as HIV can prompt the immune...
923
Structure and Function of Leukocytes
2.0K
An adult in good health typically has between 4,500 and 11,000 leukocytes, or white blood cells, per microliter of blood, which constitutes about 1% of the total blood volume. Unlike red blood cells, white blood cells contain a nucleus and other cellular organelles but do not have hemoglobin. Most white blood cells reside in connective tissues, particularly in lymphatic organs such as the lymph nodes, with only a small fraction present in circulating blood.
White blood cells protect the body...
White blood cells protect the body...
2.0K


