儿科少数群体中的急性尾炎:一种常见疾病的不常见表现
Fadi Aeed1, Lubna Jammal2, Amir Farah3
1Neurology, Rambam Medical Center, Haifa, ISR.
Cureus
|April 4, 2025
概括
以色列阿拉伯少数民族的儿科急性尾炎 (AA) 没有季节性变化,并发症率较低. 白细胞计数和C反应性蛋白水平有助于排除儿童复杂尾炎.
科学领域:
- 儿科手术 儿科手术
- 胃肠病学 胃肠病学
- 流行病学 流行病学
背景情况:
- 急性尾炎 (AA) 是一种常见的手术紧急情况,具有潜在的种族和社会经济影响.
- 了解少数群体中AA呈现的变化对于定制的医疗保健至关重要.
- 以前的研究表明季节性模式和饮食对AA的影响,但少数民族的数据有限.
研究的目的:
- 分析以色列阿拉伯少数民族的儿科患者急性尾炎的临床和流行病学特征.
- 在这个特定的亚群中,确定简单和复杂的AA之间的表现和结果的差异.
- 将发现与儿科AA的区域和全球数据进行比较.
主要方法:
- 来自401名被诊断患有AA的儿科患者的临床数据的回顾性分析.
- 包括变量:生命体征,实验室工作 (WBC,CRP,中性粒细胞百分比) 和手术报告.
- 简单与复杂的AA病例的比较和子组分析.
主要成果:
- 观察到男性占主导地位 (62.5%);AA发病率没有显著的季节性变化.
- 超过90%的患者没有发烧;复杂的AA率 (12.7%) 低于其他报告.
- 白细胞计数<104细胞/mm3有效排除了复杂的AA (NPV 98.7%);CRP>5 mg/dL显示出更高的特异性 (81%).
- 与当地规范相比,非操作性管理率 (18.5%) 较高.
结论:
- 以色列阿拉伯少数民族的儿科AA表现出独特的特征,包括男性占主导地位,缺乏季节性变化和较低的并发症率.
- 白细胞计数和C反应蛋白对于排除该人群中复杂尾炎有价值.
- 在这个少数群体中,较低的并发症和较高的非手术治疗率可能与饮食习惯和获得医疗保健有关.
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