急性尾炎的预测因素及其在儿童年龄组的结果
Hussain A Al Ghadeer1, Abdullah F Al Muaibid1, Mohammed A Alkhalaf1
1Pediatrics, Maternity and Children Hospital, Al-Mubarraz, SAU.
Cureus
|February 25, 2025
概括
在幼儿中诊断急性尾炎是具有挑战性的. 临床症状和体检仍然是准确的儿科尾炎诊断和干预的最关键工具.
科学领域:
- 儿科手术 儿科手术
- 紧急医疗 紧急医疗
- 诊断成像 诊断成像 诊断成像
背景情况:
- 在学龄前儿童中,急性尾炎带来了诊断挑战,往往导致延迟呈现和并发症.
- 延迟诊断增加了儿科患者的发病率,死亡率和住院时间.
- 确定急性尾炎的预测因素对于儿童的及时干预至关重要.
研究的目的:
- 预测影响儿科患者急性尾炎诊断和结果的因素.
- 为了比较儿童简单与复杂尾炎的特征.
- 为了确定尾炎诊断和住院时间的重要预测因素.
主要方法:
- 对急性尾炎住院的儿科患者 (<14岁) 的回顾性研究.
- 基于临床数据和儿科尾炎评分的简单和复杂尾炎组的比较.
- 对尾炎诊断和住院时间的预测因素的评估.
主要成果:
- 包括246名儿童 (平均年龄10.1岁,69.5%男性);55.7%患有简单的尾炎,30.9%患有复杂的尾炎.
- 患有复杂尾炎的五岁以下儿童的尾炎得分明显更高 (p < 0.05).
- 平均住院时间为5.5天;保守治疗的失败率为30.5%.
结论:
- 预测因素有助于识别需要干预的儿科尾炎.
- 临床症状和身体腹部检查对于诊断儿童尾炎至关重要.
- 早期诊断和干预是改善儿科尾炎结果的关键.
相关概念视频
Appendicitis-I: Introduction
76
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...
76
Appendicitis-II: Diagnostic Studies and Management
56
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...
56
Acute Pancreatitis II: Clinical Manifestations and Management
80
Acute pancreatitis presents a complex medical emergency characterized by rapid onset inflammation of the pancreas, demanding timely diagnosis and management to prevent complications. The condition primarily manifests through severe upper abdominal pain that often radiates to the back. This pain intensifies following the consumption of fatty foods. Accompanying symptoms such as nausea, vomiting, abdominal distention, fever, dyspnea, cyanosis, and jaundice can vary in intensity but significantly...
80
Attention-Deficit/Hyperactivity Disorder
34
Attention-deficit/hyperactivity disorder (ADHD) is a neurodevelopmental disorder characterized by persistent inattention, hyperactivity, and impulsivity. It affects approximately 5-8% of children globally, with around 60-70% of cases persisting into adulthood. ADHD has significant implications for educational attainment, social interactions, and occupational success.
Diagnostic Criteria and Symptoms
To diagnose ADHD, symptoms must manifest before age 12 and be evident across multiple settings....
Diagnostic Criteria and Symptoms
To diagnose ADHD, symptoms must manifest before age 12 and be evident across multiple settings....
34


