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紧急医疗最新消息:成年患者急性尾炎

Brit Long¹, Michael Gottlieb²

¹Department of Emergency Medicine, University of Virginia School of Medicine, Charlottesville, VA, USA.

The American journal of emergency medicine

|September 11, 2025

概括

应急诊所的医生应该了解急性尾炎的诊断和管理情况. 像AIR,AAS和RIPASA这样的风险评分有助于决策,可能减少不必要的成像和指导尾炎的治疗.

科学领域:

紧急医疗紧急医疗
临床诊断临床诊断临床诊断
手术管理的手术管理.

背景情况:

急性尾炎是急诊室经常出现的情况.
紧急诊所医生需要目前的证据来进行有效的诊断和管理.
了解尾炎的最新情况可以改善ED患者的护理.

研究的目的:

为紧急诊所医生评估成人尾炎的基于证据的更新.
突出关键的诊断和管理进步.
为了简要地回顾当前的文献.

主要方法:

审查目前的证据和指导方针,用于尾炎的诊断和管理.
评估各种诊断工具和成像方式.
评估临床准确性的风险分层分数.

主要成果:

尾炎呈现的变化;没有一个单一的标志排除它. 右下象限疼痛,迁移疼痛,以及特定的体检迹象表明尾炎.
正常的炎症标志物 (WBC,CRP) 使尾炎的可能性降低.
尾炎炎炎症反应 (AIR),成人尾炎得分 (AAS) 和RIPASA得分显示出高的诊断准确性.
超声波 (US) 或计算机断层扫描 (CT) 是成人的一线成像;孕妇患者的US和MRI.
用抗生素进行非手术治疗可能适用于选择没有尾炎的无并发症病例.

结论:

没有单一的临床发现可以排除尾炎;因素的组合至关重要.
风险分层分数 (AIR,AAS,RIPASA) 有助于诊断,并可以指导进一步的评估,促进共享决策.
抗生素是标准的;对于所有尾炎病例,建议进行手术咨询. 非手术治疗是选择患者的选择,而在怀孕期间建议进行手术.

关键词:

腹部疼痛腹部疼痛抗生素抗生素是一种抗生素.附录是指一个附录.附录附录附录计算机断层扫描 (CT) 是一种计算机断层扫描.应急部门的紧急情况.紧急医疗紧急医疗在这里,你会看到一条巨大的巨大的巨大的巨大的巨大的.胃肠病学胃肠病学胃肠道胃肠道胃肠道外科手术手术手术超声波超声波是指超声波的使用.结肠结肠结肠结肠是什么意思

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