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Updated: Feb 22, 2026

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疼痛和易怒症在儿科儿科和小肠内:一项比较研究
Yarden Shlomovitz1, Rebecca Brooks2, David Rekhtman3
1Faculty of Medicine, Hebrew University of Jerusalem, Jerusalem, Israel.
The American journal of emergency medicine
|February 20, 2026
概括
儿科内肠置诊断可能具有挑战性. 虽然易怒性在小肠静脉塞 (SMBI) 中更常见,但无论是疼痛还是易怒性都不能可靠地区分SMBI与大肠静脉塞 (ILIC).
科学领域:
- 儿科急救医学 儿科急救医学
- 胃肠病学 胃肠病学
- 诊断成像 诊断成像 诊断成像
背景情况:
- 乳房内 (ILIC) 是一个儿科紧急情况.
- 小肠静脉阻塞 (SMBI) 可以在临床上模仿ILIC.
- 超声波是区分ILIC和SMBI的关键.
研究的目的:
- 在患有ILIC和SMBI的儿童中比较疼痛和易怒.
- 确定临床指标,以区分内肠置类型.
- 评估疼痛和易怒度得分的诊断实用性.
主要方法:
- 4个月至4岁儿童的回顾性队列研究.
- 包括被诊断患有ILIC或SMBI的患者.
- 通过FLACC尺度评估疼痛,通过护理人员/工作人员报告评估易怒.
- 使用多变量回归来分析结果.
主要成果:
- 包括141名患者:其中84人 (59.6%) 患有ILIC,57人 (40.4%) 患有SMBI.
- 在分组时的疼痛在ILIC (37.0%) 和SMBI (35.1%) 之间是可比的.
- 刺激性在SMBI中明显更常见 (aOR 7.9).
- 在ILIC中,惰更频繁;吐率相似.
结论:
- 位疼痛是轻微的,对于ILIC和SMBI都是相似的.
- 易怒性在SMBI中更为普遍,但不是一个可靠的差异化因素.
- 无论是疼痛还是易怒,都不能可靠地区分ILIC和SMBI.
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