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ji xing lan wei yan lin chuang zheng zhuang ji ti zheng zhen duan jia zhi de ping gu
Author(s): 
Pages: 695-696
Year: Issue:  8
Journal: THE JOURNAL OF PROACTICAL MEDICINE

Keyword:  阑尾炎诊断;
Abstract: 目的∶探讨临床症状和体征对急性阑尾炎诊断的重要性和准确性.方法:回顾性分析本院1997年1月~1999年6月因怀疑急性阑尾炎住院并实行手术的病人406例.结果:11项诊断标准中,4项具有较高的阳性似然比:转移性右下腹痛,右下腹压痛,反跳痛,肌紧张(5.76,3.22,5.42,3.99).5项敏感性较高:转移性右下腹痛,右下腹压痛,反跳痛,肌紧张,肌卫(0.94,0.94,0.84,0.90 ,0.81).单因素分析证明,转移性右下腹痛、右下腹压痛、反跳痛、肌紧张、肌卫仍对急性阑尾炎的明确诊断具有明显的影响(P<0.05);右下腹痛(无转移性)、发热、呕吐、闭孔肌试验、腰大肌试验、结肠充气征对急性阑尾炎的诊断无明显影响(P>0.05).结论:转移性右下腹痛、右下腹压痛、反跳痛、肌紧张、肌卫是提高急性阑尾炎诊断准确性的重要因素.
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