在ACR的合适性标准®腹痛-儿童
, HaiThuy N Nguyen1, Sherwin S Chan2
1Children's Hospital Los Angeles and Keck School of Medicine USC, Los Angeles, California.
儿科腹痛诊断往往需要成像,因为广泛的差异和儿童的有限的沟通. 本综述讨论了儿童各种急性腹痛情景的适当成像,以基于证据的标准为指导.
科学领域:
- 儿科放射学 儿科放射学
- 胃肠病学 胃肠病学
- 临床决策支持 临床决策支持
背景情况:
- 儿童的腹痛具有广泛的差异诊断,随着年龄的增长而有很大变化.
- 儿童难以表达疼痛需要使用诊断成像来进行准确的评估.
- 儿科患者的急性腹痛需要一个系统的诊断方法.
研究的目的:
- 审查针对患有急性腹痛的儿童的适当诊断成像策略.
- 讨论特定疾病的成像方法,包括便秘,内肠,小肠阻塞,手术并发症和死性肠球炎.
- 突出基于证据的指南在儿科腹痛管理中的作用.
主要方法:
- 该研究讨论了儿童急性腹痛的各种临床情景.
- 它概述了根据证据和专家共识认为适当或可能适当的初始成像研究.
- 美国放射学学院的适当性标准方法,包括GRADE和RAND/UCLA方法,是指导方针的参考.
主要成果:
- 该综述详细介绍了儿童常见腹痛原因的适当成像,如便秘和腹腔内.
- 它解决了复杂病例的成像考虑,如小肠阻塞和死性肠球炎.
- 美国放射学学院的适当性标准是基于证据的建议的基础.
结论:
- 由于诊断复杂性,诊断成像对于评估儿童的急性腹痛至关重要.
- 基于证据的指导方针,如美国放射学学院的适当性标准,有助于选择适当的成像研究.
- 专家的共识在同行评审的文献对于特定的儿科腹痛表现有限时起着至关重要的作用.
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