幼儿园和学龄儿童尾炎的比较研究:临床特征和结果
M S Ali1, M A A Mahmud, S Islam
1Dr Mohammad Showkot Ali, Assistant Professor, Department of Pediatric Surgery, Mymensingh Medical College (MMC), Mymensingh, Bangladesh;
Mymensingh medical journal : MMJ
|June 30, 2025
概括
患有尾炎的学龄前儿童面临延迟诊断和严重症状,导致更高的穿孔率和并发症. 目前的评分系统,如儿科尾炎评分 (PAS) 和阿尔瓦拉多评分,需要改进,以便在较小的儿童中早期检测.
科学领域:
- 儿科手术 儿科手术
- 临床诊断 临床诊断 临床诊断
- 比较医学是一种比较医学.
背景情况:
- 尾炎是经常导致儿童需要手术的腹痛的原因.
- 在较小的儿童中区分尾炎带来了诊断挑战.
- 儿科尾炎评分 (PAS) 和阿尔瓦拉多评分是常用的诊断工具.
研究的目的:
- 为了比较临床特征,诊断准确度和尾炎在学龄前儿童和学龄儿童的结果.
- 评估儿童尾炎评分 (PAS) 和阿尔瓦拉多评分在不同儿科年龄组的有效性.
- 确定导致延迟诊断和年幼儿童尾炎严重程度增加的因素.
主要方法:
- 一项前性比较研究,涉及386名被诊断患有尾炎的儿童.
- 将患者分为学龄前 (<6岁) 和学龄 (6-14岁) 的两组.
- 对临床表现,PAS,Alvarado评分和患者结局的分析,包括穿孔率和住院时间.
主要成果:
- 与学龄儿童 (32.0%) 相比,学龄前儿童的诊断延迟,特征更严重,穿孔率更高 (58.0%).
- 在学龄前儿童中,较低的平均PAS和Alvarado分数表明早期识别存在挑战.
- 学龄前儿童的并发症率更高,住院时间更长 (平均7.2天),而不是学龄儿童 (平均4.5天).
结论:
- 学前儿童由于异常呈现和诊断延迟而面临较高的严重尾炎风险.
- 现有的诊断评分系统可能需要修改,以改善年轻儿科人群的早期检测.
- 提高临床怀疑和潜在的评分系统的改进对于在幼儿中改善尾炎的结果至关重要.
相关概念视频
Appendicitis-I: Introduction
644
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...
644
Appendicitis-II: Diagnostic Studies and Management
150
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...
150
Esophageal Strictures-II: Clinical Features and Management
163
Patients with esophageal strictures often experience a range of symptoms. Initially, they may have difficulty swallowing solid foods, which can progress to include liquids. Additional symptoms may involve chest pain or discomfort, regurgitating food and fluids, heartburn, unintentional weight loss, coughing or choking during meals, and hoarseness.
Healthcare providers should gather a comprehensive medical history and conduct a physical examination for diagnosis. If esophageal stricture is...
Healthcare providers should gather a comprehensive medical history and conduct a physical examination for diagnosis. If esophageal stricture is...
163
Peptic Ulcer Disease III: Clinical Manifestations and Diagnostic Studies
208
Peptic ulcer disease (PUD) presents with diverse symptoms depending on the location and severity of the ulcer. Clinical manifestations of peptic ulcer include dull pain and a burning sensation in the mid-epigastric region.
Few clinical manifestations differentiate gastric ulcers from duodenal ulcers. Distinctions in the location, timing, and pain relief are crucial for healthcare providers in differentiating between gastric and duodenal ulcers during clinical assessments.
Few clinical manifestations differentiate gastric ulcers from duodenal ulcers. Distinctions in the location, timing, and pain relief are crucial for healthcare providers in differentiating between gastric and duodenal ulcers during clinical assessments.
208

