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Register a new userDiagnostic criteria of acute appendicitis in children
المعايير التشخيصية لالتهاب الزائدة الحاد عند الأطفال
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Tishreen University ورقة بحثية
Publication date
2018
fields
Medicine
and research's language is
العربية
Created by
Shamra Editor
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تأتي اهمية البحث بالتأكيد على اهم الأعراض و العلامات لالتهاب الزائدة و التشخيص في الوقت المناسب لتجنب المضاعفات و الوفيات. الهدف من البحث وضع معايير تشخيصية لالتهاب الزائدة الحاد عند الأطفال على ضوء المعطيات التي حصلنا عليها من دراسة عدد أكبر من المرضى بالتهاب الزائدة و تحديد الاستطباب الجراحي للتقليل من المضاعفات و حالات فتح البطن السلبي و إدراج المعايير المدروسة في ميزان خاص يعتمد في مشافينا لتقييم الأطفال بشك التهاب زائدة حاد و الاعتماد على هذا الميزان في التدبير . شملت الدراسة 104 من الأطفال المراجعين لقسم إسعاف الأطفال في مشفيي الأسد الجامعي و تشرين الجامعي بشكوى ألم بطني مع شك التهاب زائدة حاد ما بين عام 2014_2016 و الذين كانت أعمارهم دون 12 سنة .عدد المرضى الذكور 76 مريضا و الإناث 28 مريضة , الألم البطني موجود عند كل المرضى , تم دراسة المعايير التالية (الألم البطني,الإيلام البطني ,الإيلام المرتد,الايكو,البروتين الارتكاسي,الكريات البيض,انحراف الصيغة للأيسر , الحرارة) اتم دراسة هذه المعايير عند هذه الشريحة لتشخيص أو نفي التهاب الزائدة الحاد و وضعها في ميزان خاص يصلح للاستخدام في تشخيص أو نفي التهاب الزائدة الحاد . و بمقارنته مع المعايير العالمية لاحظنا أن الميزان المدروس في دراستنا أكثر موضوعية و يلغي العامل الشخصي في تشخيص التهاب الزائدة.
The objective of this research is to insist on the most important symptoms and signs of appendicitis and diagnosis in a timely manner to avoid complications and deaths. The aim of the study was to establish diagnostic criteria for acute appendicitis in children in the light of the data obtained from the study of a large number of patients with appendicitis and to determine the surgical indication to reduce complications and negative abdominal opening and to include the studied criteria in a spec ial scale in our patients to evaluate children with acute appendicitis depending On this scale. The study included 104 children who visited the Pediatric emergency department at Al-Assad University and University Hospital and Tishreen university Hospital with a complaint of abdominal pain between 2014 and 2016. The number of male patients was 76 patients and 28 females, abdominal pain was present in all patients, The following criteria were studied (abdominal pain, abdominal tenderness, rebound tenderness, ultra sound, leukocytosis, shift to left, fever,crp). These criteria were studied to diagnose acute appendicitis and to put them in a special scale for use in diagnosis or denial acute appendicitis. In comparison with international standards, we observed that the scale studied in our study is more objective and eliminates the subjective factor in the diagnosis of appendicitis.
References used
PURI P, MARTELL A , APPENDICITIS. IN: STRINGER MD, OLDHAM KT, Mouriquand PDE (eds) Pediatric Surgery and Urology: Long Term Outcomes, 2nd Edn. Cambridge University Press, Cambridge, 2006, 374–384
ASHCRAFT, K.W; HOLCOMB, G.W. Ashcraft’s pediatric surgery.5th.ed, Saunders Inc, United States of America, 2010.549
SALÖ M, OHLSSON B, ARNBJÖRNSSON E, STENSTRÖM P: Appendicitis in children from a gender perspective. Pediatr Surg Int. 31(9): 2015 Sep;845-53
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