战争冲突期间儿童的急性尾炎:多中心研究的结果
Gal Becker1,2, Igor Sukhotnik1,2, Nadav Slijper3
1Department Pediatric Surgery, Dana-Dwek Children's Hospital, Tel Aviv Sourasky Medical Center, Tel Aviv 6423906, Israel.
Journal of clinical medicine
|July 12, 2025
概括
在2023年冲突期间,靠近战区的儿童经历了更复杂的急性尾炎. 接近冲突增加了儿科患者严重尾炎的发生率,突显了战争.
科学领域:
- 儿科手术 儿科手术
- 公共卫生 公共卫生
- 战争医学 战争医学
背景情况:
- 战争冲突对公共卫生和医疗保健提供有重大影响.
- 评估战争对儿科外科病情的影响至关重要.
研究的目的:
- 评估2023年以色列-哈马斯-真主党战争期间儿童急性尾炎 (AA) 的发生率和严重程度.
- 分析接近冲突地区对儿科尾炎结果的影响.
主要方法:
- 儿童 (<18岁) 接受AA的多中心回顾性队列研究.
- 将2023年战争期间2个月的数据与2022年同期的数据进行比较.
- 基于接近冲突地区的子组分析,使用统计测试,包括学生的t测试和皮尔森的奇方位.
主要成果:
- 战争期间观察到复杂急性尾炎的比率更高 (27%vs. 18%),尽管在统计学上并不显著.
- 与战前相比,靠近冲突地区的医院中复杂尾炎的发病率翻了一番 (16%与9%,p=0.016).
- 冲突地区附近的AA发生率下降,但在遥远的中心增加;症状到呈现的时间保持不变.
结论:
- 靠近战区与儿童中复杂尾炎的增加率有关.
- 这些发现强调了战争对儿科医疗保健和福祉的复杂影响.
- 需要进一步的研究来阐明这种关联的具体原因.
相关概念视频
Appendicitis-II: Diagnostic Studies and Management
146
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...
146
Appendicitis-I: Introduction
640
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...
640
Inflammatory Bowel Disease V: Surgical Management
221
Surgical interventions for inflammatory bowel disease (IBD), which includes ulcerative colitis and Crohn's disease, are essential in managing symptoms and addressing complications. The selection of surgical procedures is contingent upon the specific conditions and complications that stem from these illnesses.
Here are some common surgical interventions for IBD:
Here are some common surgical interventions for IBD:
221
Acute Pyelonephritis II: Diagnostic Studies and Management
44
Introduction:For diagnosing acute pyelonephritis, a comprehensive patient history is collected to identify symptoms such as dysuria, frequent or urgent urination, flank pain, or costovertebral angle (CVA) tenderness that may suggest a kidney infection.Physical ExaminationDuring the physical examination, CVA tenderness is assessed. This involves gentle percussion over the costovertebral angle, where tenderness often indicates a kidney infection.Diagnostic TestsUrinalysis: Used to identify white...
44


