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瘤性尾炎应该被标记为复杂吗? 一个八年的单一中心回顾性审查
Eric Scheier1, Osher Cohen2, Pavel Peslin3
1Department of Pediatric Emergency Medicine, Kaplan Medical Center, Rehovot, Israel, Hadassah Medical Center, Faculty of Medicine, Hebrew University of Jerusalem, Jerusalem, Israel.
性尾炎与复杂尾炎具有相同的临床和实验室特征. 这些发现表明,患有瘤性尾炎的儿童可能不适合非手术治疗.
科学领域:
- 儿科手术 儿科手术
- 胃肠病学 胃肠病学
- 医学诊断 医学诊断 医学诊断
背景情况:
- 性尾炎是无并发性尾炎和并发性尾炎之间的中间状况.
- 一项回顾性审查分析了在一个中心八年来尾炎的病例.
研究的目的:
- 在儿科患者群体中描述性尾炎的临床表现.
- 为了比较性尾炎与不复杂和复杂的形式.
主要方法:
- 对患者数据的回顾性审查,包括陈述,实验室,手术和病理发现.
- 后勤回归分析,以确定恶性尾炎和复杂尾炎的预测因素.
主要成果:
- 患有复杂尾炎的儿童年轻,出现更多的吐,腹和发烧.
- 在复杂的尾炎中观察到白细胞计数,中性粒细胞计数和C反应蛋白的增加.
- 与非复杂病例相比,非穿孔性尾炎的吐和发烧更频繁;实验室发现与复杂的尾炎相似.
结论:
- 性尾炎表现出与复杂尾炎相似的历史和实验室特征.
- 患有瘤性尾炎的儿童可能不是非手术治疗策略的理想候选人.
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