Overview and diagnosis of acute appendicitis in children

被引：109
作者：
Glass, Charity C. [1 ]
Rangel, Shawn J. [1 ]
机构：
[1] Harvard Med Sch, Childrens Hosp Boston, Dept Surg, 300 Longwood Ave Fegan 3, Boston, MA 02115 USA
来源：
SEMINARS IN PEDIATRIC SURGERY | 2016年 / 25卷 / 04期
关键词：
Appendicitis; Diagnosis and management; Clinical pathway; C-REACTIVE PROTEIN; BLOOD-CELL COUNT; LIMITED COMPUTED-TOMOGRAPHY; SUSPECTED APPENDICITIS; PEDIATRIC APPENDICITIS; ABDOMINAL-PAIN; PROSPECTIVE VALIDATION; PREDICTIVE-VALUE; ULTRASONOGRAPHY; SCORE;
D O I：
10.1053/j.sempedsurg.2016.05.001
中图分类号：
R72 [儿科学];
学科分类号：
100202 ;
摘要：
Appendicitis represents the most common abdominal surgical emergency in the pediatric age group. Despite being a relatively common condition, the diagnosis of appendicitis in children can prove to be challenging in many cases. The goal of this article is to review the predictive utility for presenting signs and symptoms, laboratory tests, and imaging studies in the diagnostic work-up of appendicitis. Furthermore, we sought to explore the predictive utility of composite measures based on multiple sources of diagnostic information, as well as the utility of clinical pathways as a means to streamline the diagnostic process. (C) 2016 Elsevier Inc. All rights reserved.
引用
收藏
页码：198 / 203
页数：6
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